CENTRAL ILLINOIS COMPOUNDING INC Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED CONTROLLED PHARMACY SUBSTANCE

License Number

32*****77

License Status

CHANGE OF OWNERSHIP

Business

Business Name

CENTRAL ILLINOIS COMPOUNDING INC

BusinessDBA

PRECKSHOT PROFESSIONAL PHARMACY

Original Issue Date

01/08/2009

Effective Date

03/23/2016

Expiration Date

03/31/2018

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/12/2018