STEPHEN B PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057191

License Status

NOT RENEWED

Business

First Name

STEPHEN B

Last Name

PETERSON

Business Name

STEPHEN B PETERSON

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005