SEA BREEZE DBA

Business Entity
CHANGE OF OWNERSHIP

Pharmacist

LICENSED CONTROLLED PHARMACY SUBSTANCE

32*****42

CHANGE OF OWNERSHIP

Y

SEA BREEZE DBA

01/28/2000

01/28/2000

03/31/2002

PARK RIDGE

IL

60068

COOK

Retail Pharmacy

II III IV V

N

10/18/2005