ANTOINE PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153412

License Status

NOT RENEWED

Business

First Name

ANTOINE

Last Name

PETERSON

Business Name

ANTOINE PETERSON

Original Issue Date

03/02/2004

Effective Date

03/02/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005