MICHELLE KOHANNA-PETERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149744

License Status

NOT RENEWED

Business

First Name

MICHELLE

Last Name

KOHANNA-PETERS

Business Name

MICHELLE KOHANNA-PETERS

Original Issue Date

08/08/2003

Effective Date

08/08/2003

Expiration Date

03/31/2006

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/11/2006