Appendix 2800.APPENDIX C

Ill. Admin. Code tit. 77, § 2800.APPENDIX C

Addendum II - Facility Experience

Effective Sep 16, 198812 Ill. Reg. 15550AUTHORITY: Implementing and authorized by the Experimental Organ Transplantation Procedures Act (Ill. Rev. Stat. 1987, ch. 111 1/2, par. 6601 et seq.).EXPERIMENTAL ORGAN TRANSPLANTATION PROCEDURES BOARD

FACILITY:

TYPE OF TRANSPLANT:

PERIOD COVERED*:

PATIENT**	AGE	DISEASE	TRANSPLANT DATE	RETRANSPLANT	STATUS

*All patients in most recent twelve-month period.

**If funded by Experimental Organ Transplantation Program, indicate patient's name; otherwise use identifier only.

(Source: Added at 12 Ill. Reg. 15550, effective September 16, 1988)