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*****77

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

07/01/2004

Effective Date

07/01/2004

Expiration Date

03/31/2006

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

Retail Pharmacy

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/18/2005