SHIRLEY A PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134151

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Middle

Last Name

PETERSON

Business Name

SHIRLEY A PETERSON

Original Issue Date

12/20/2000

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/02/2008