RENAISSANCE LAKEWOOD LLC

Business Entity
CHANGE OF OWNERSHIP

Pharmacist

LICENSED CONTROLLED SUBSTANCE DRUG DIST

30*****31

CHANGE OF OWNERSHIP

Y

RENAISSANCE LAKEWOOD LLC

03/01/2012

10/11/2012

12/31/2014

LAKEWOOD

NJ

08701

NEW JERSEY

MANUFACTURER

I II III IV V

N

03/01/2012