CAROL JEAN PETERSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053822

License Status

INACTIVE

Business

First Name

CAROL JEAN

Last Name

PETERSON

Business Name

CAROL JEAN PETERSON

Original Issue Date

01/01/1997

Effective Date

04/24/2014

Expiration Date

03/31/2015

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

01/06/2015