PAULA KIM PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051291029

License Status

NOT RENEWED

Business

First Name

PAULA

Middle

KIM

Last Name

PETERSON

Business Name

PAULA KIM PETERSON

Original Issue Date

03/03/2006

Effective Date

01/19/2010

Expiration Date

03/31/2012

City

SOUTH LAKE TAHOE

State

Zip

96151

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

05/07/2012