PARKSIDE PHARMACY

Business Entity
CHANGE OF OWNERSHIP

Pharmacist

LICENSED PHARMACY

054009148

CHANGE OF OWNERSHIP

Y

PARKSIDE PHARMACY

04/13/1987

04/13/1987

03/31/2002

TINLEY PARK

IL

60477

COOK

Y

10/17/2005

1998010906

Revocation

06/01/2000

Revocation imposed 5/1/00 modified to extend the effective date to 6/1/00.