TIMOTHY L PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107302

License Status

NOT RENEWED

Business

First Name

TIMOTHY L

Last Name

PETERSON

Business Name

TIMOTHY L PETERSON

Original Issue Date

06/22/1994

Effective Date

06/22/1994

Expiration Date

03/31/1997

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005