TYLER JACKSON PETERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146684

License Status

NOT RENEWED

Business

First Name

TYLER

Middle

JACKSON

Last Name

PETERSEN

Business Name

TYLER JACKSON PETERSEN

Original Issue Date

01/09/2003

Effective Date

02/09/2015

Expiration Date

03/31/2016

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

05/20/2016