MANDY LEE PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144570

License Status

NOT RENEWED

Business

First Name

MANDY

Middle

LEE

Last Name

PETERSON

Business Name

MANDY LEE PETERSON

Original Issue Date

09/09/2002

Effective Date

09/09/2002

Expiration Date

03/31/2003

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005