CHICAGO - New York City-based Cain Brothers & Co. is extending its Midwestern reach with the opening of a new St. Louis office that will house former Wachovia Securities LLC health care bankers Joseph Mulligan and Sara Kisner.

At the same time, capital markets head Andrew Garvey announced senior management changes and the hiring earlier this month of Roger Glasbrenner as a managing director in the firm's sales, trading, and underwriting group within the health care capital markets division. He will focus on "providing optimal financing structures for the firm's issuing and investing clients," a firm statement said.

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