IL DEPT OF HUMAN SERVICES

Business Entity
CLOSED

Pharmacist

LICENSED CONTROLLED PHARMACY SUBSTANCE

32*****44

CLOSED

Y

IL DEPT OF HUMAN SERVICES

07/31/1998

07/31/1998

03/31/2004

PEORIA

IL

61614

PEORIA

Hospital/Clinic

II III IV V

N

06/10/2024