HEATHER KRISTINE PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135470

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

KRISTINE

Last Name

PETERSON

Business Name

HEATHER KRISTINE PETERSON

Original Issue Date

03/30/2001

Effective Date

02/18/2009

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010