ANDREA ERIN PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135299

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

ERIN

Last Name

PETERSON

Business Name

ANDREA ERIN PETERSON

Original Issue Date

03/19/2001

Effective Date

03/19/2001

Expiration Date

03/31/2005

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005