JAN C PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068041

License Status

NOT RENEWED

Business

First Name

JAN C

Last Name

PETERSON

Business Name

JAN C PETERSON

Original Issue Date

09/02/1977

Effective Date

09/02/1977

Expiration Date

01/01/1997

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005