LAURA DIANE PETERNELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134696

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

DIANE

Last Name

PETERNELL

Business Name

LAURA DIANE PETERNELL

Original Issue Date

02/22/2001

Effective Date

02/22/2001

Expiration Date

03/31/2002

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

12/06/2005