PATRICIA R PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085902

License Status

NOT RENEWED

Business

First Name

PATRICIA R

Last Name

PETERSON

Business Name

PATRICIA R PETERSON

Original Issue Date

01/20/1988

Effective Date

02/26/2013

Expiration Date

03/31/2014

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2014