KIM K PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094933

License Status

NOT RENEWED

Business

First Name

KIM K

Last Name

PETERSON

Business Name

KIM K PETERSON

Original Issue Date

10/30/1990

Effective Date

10/30/1990

Expiration Date

03/31/1991

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005