KRISTIN ANN PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154332

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

ANN

Last Name

PETERSON

Business Name

KRISTIN ANN PETERSON

Original Issue Date

05/19/2004

Effective Date

05/19/2004

Expiration Date

03/31/2006

City

NORTHFIELD

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006