ERIC J PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101744

License Status

NOT RENEWED

Business

First Name

ERIC J

Last Name

PETERSON

Business Name

ERIC J PETERSON

Original Issue Date

11/19/1992

Effective Date

11/19/1992

Expiration Date

03/31/1996

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005