PEGGY A PETERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117136

License Status

NOT RENEWED

Business

First Name

PEGGY

Middle

Last Name

PETERSEN

Business Name

PEGGY A PETERSEN

Original Issue Date

04/08/1997

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/02/2008