| Entity Name: | PALOS RX LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 01 May 2023 |
| Company Number: | LLC_13194157 |
| File Number: | 13194157 |
| Type of Management: | Manager Managed |
| Date Status Change: | 29 May 2024 |
| Address | 6253 W. 95TH STREET, OAK LAWN, 60453, IL |
| Place of Formation: | ILLINOIS |
| Name and Address | Role | Appointment Date |
|---|---|---|
| MATTHEW D. FORMELLER, 233 S. WACKER DRIVE, SUITE 6150, CHICAGO, 60606 | Agent | 2023-05-01 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| IBRAHIM, MAJD, 48 SILO RIDGE E, ORLAND PARK, IL, 60467 | Manager | 2024-05-29 |
| COLLERY, COLIN, 6253 W. 95TH ST, OAK LAWN, IL, 60453 | Manager | 2024-08-21 |
| ARAR, ADEL, 6253 W. 95TH ST, OAK LAWN, IL, 60453 | Manager | 2024-08-21 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| PHARMACY | 054022728 | No data | No data | LICENSED PHARMACY | No data | 2024-10-01 | 2024-10-01 | 2026-03-31 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| LIFE PHARMACY | Assumed name | 2024-08-26 | No data | No data | No data |
Date of last update: 23 Dec 2024
