AMANDA M PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128120

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

PETERSON

Business Name

AMANDA M PETERSON

Original Issue Date

11/04/1999

Effective Date

01/12/2010

Expiration Date

03/31/2011

City

LADD

State

Zip

61329

County

BUREAU

Ever Disciplined

LastModifiedDate

05/12/2011