TARA S PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094215

License Status

NOT RENEWED

Business

First Name

TARA S

Last Name

PETERSON

Business Name

TARA S PETERSON

Original Issue Date

08/22/1990

Effective Date

08/22/1990

Expiration Date

03/31/1995

City

DUQUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

10/17/2005