SYNTHIA AHLSTROM PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145707

License Status

NOT RENEWED

Business

First Name

SYNTHIA

Middle

AHLSTROM

Last Name

PETERSON

Business Name

SYNTHIA AHLSTROM PETERSON

Original Issue Date

11/06/2002

Effective Date

11/06/2002

Expiration Date

03/31/2004

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005