KATHLEEN M PERALTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141535

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

PERALTA

Business Name

KATHLEEN M PERALTA

Original Issue Date

03/25/2002

Effective Date

03/26/2013

Expiration Date

03/31/2014

City

WAUCONDA

State

Zip

60084

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2014