TERESA L PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110217

License Status

NOT RENEWED

Business

First Name

TERESA L

Last Name

PETERSON

Business Name

TERESA L PETERSON

Original Issue Date

04/15/1995

Effective Date

01/21/2021

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022