Last Updated:  4/29/2024 5:20:32 AM

Pharmacy Detail                               

Corporation / Company Owner Name

CENTRAL ILLINOIS COMPOUNDING, INC. 

Business (DBA) Name  

PRECKSHOT PROFESSIONAL PHARMACY 

License Number 

99-7247 

Type of Pharmacy

Non-Resident 

Address

4450 N PROSPECT RD, STE 7

City, State, Zip 

PEORIA HEIGHTS, IL  61616

Country 

 

Issue Date 

04/23/2015 

Renewed Date

04/24/2015

Expiration Date 

04/30/2016 

End Date 

05/31/2016 

Replacing

Replaced By

99-7713

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

JENNIFER A. SIEFERT - 16026

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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