ST THERESE MEDICAL CENTER PHARMACY

Business Entity
CHANGE OF OWNERSHIP

Pharmacist

LICENSED DIVISION III PHARMACY

059009316

CHANGE OF OWNERSHIP

Y

ST THERESE MEDICAL CENTER PHARMACY

02/16/1988

02/16/1988

03/31/1996

WAUKEGAN

IL

60085

LAKE

Y

10/19/2005

1989004295

Probation

03/16/1990

09/16/1990