GREAT LAKES MEDICAL PHARMACY LLC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****90

License Status

CHANGE OF OWNERSHIP

Business

Business Name

GREAT LAKES MEDICAL PHARMACY LLC

BusinessDBA

ALL AMERICAN MEDICAL PHARMACY

Original Issue Date

12/08/2011

Effective Date

04/01/2014

Expiration Date

03/31/2016

City

WARREN

State

Zip

48091

County

MICHIGAN

Specialty/Qualifier

RETAIL PHARMACY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/25/2011