SHANNA M PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153028

License Status

NOT RENEWED

Business

First Name

SHANNA

Middle

Last Name

PETERSON

Business Name

SHANNA M PETERSON

Original Issue Date

01/27/2004

Effective Date

02/13/2015

Expiration Date

03/31/2016

City

DWIGHT

State

Zip

60420

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

05/20/2016