TIMOTHY L PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146660

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

PETERSON

Business Name

TIMOTHY L PETERSON

Original Issue Date

01/09/2003

Effective Date

01/09/2003

Expiration Date

03/31/2004

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005