ONCOLOGY HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS PC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****42

License Status

CHANGE OF OWNERSHIP

Business

Business Name

ONCOLOGY HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS PC

BusinessDBA

D/B/A ILLINOIS CANCERCARE, P.C.

Original Issue Date

04/06/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

RETAIL PHARMACY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/07/2009