JEAN PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068393

License Status

NOT RENEWED

Business

First Name

JEAN

Last Name

PETERSON

Business Name

JEAN PETERSON

Original Issue Date

11/04/1977

Effective Date

11/04/1977

Expiration Date

01/01/1997

City

ELMWOOD

State

Zip

61529

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005