ILLINOIS CANCER CARE PC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097001896

License Status

NOT RENEWED

Business

Business Name

ILLINOIS CANCER CARE PC

Original Issue Date

05/16/2013

Effective Date

05/16/2013

Expiration Date

12/31/2014

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

INDIVIDUAL

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

02/11/2015