KELLY MICHELLE PETERSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136581

License Status

INACTIVE

Business

First Name

KELLY

Middle

MICHELLE

Last Name

PETERSON

Business Name

KELLY MICHELLE PETERSON

Original Issue Date

06/05/2001

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

01/10/2008