LAKE PRODUCTS SALES INC.

Business Entity
CHANGE OF OWNERSHIP

Pharmacist

LICENSED CONTROLLED PHARMACY SUBSTANCE

32*****48

CHANGE OF OWNERSHIP

Y

LAKE PRODUCTS SALES INC.

02/15/1996

01/10/2008

03/31/2010

DEERFIELD

IL

60015

LAKE

HOSPITAL/CLINIC

II III IV V

N

04/28/2008