ILLINI CLINIC PHARMACY

Business Entity
CHANGE OF OWNERSHIP

Pharmacist

LICENSED CONTROLLED PHARMACY SUBSTANCE

32*****13

CHANGE OF OWNERSHIP

Y

ILLINI CLINIC PHARMACY

02/24/1992

02/24/1992

03/31/1998

SILVIS

IL

61282

ROCK ISLAND

Hospital/Clinic

II III IV V

N

10/18/2005