TRACI L PETERSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094986

License Status

INACTIVE

Business

First Name

TRACI L

Last Name

PETERSON

Business Name

TRACI L PETERSON

Original Issue Date

11/08/1990

Effective Date

01/18/2011

Expiration Date

03/31/2012

City

MARCO ISLAND

State

Zip

34145

County

FLORIDA

Ever Disciplined

LastModifiedDate

01/12/2012