CASEY JACQUELINE PELTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142002

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

JACQUELINE

Last Name

PELTON

Business Name

CASEY JACQUELINE PELTON

Original Issue Date

04/24/2002

Effective Date

04/24/2002

Expiration Date

03/31/2005

City

JOLIET

State

Zip

60436

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005