THERESA GAIL PETERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121907

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

GAIL

Last Name

PETERS

Business Name

THERESA GAIL PETERS

Original Issue Date

07/09/1998

Effective Date

07/09/1998

Expiration Date

03/31/1999

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005