JESSICA L PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154887

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

PETERSON

Business Name

JESSICA L PETERSON

Original Issue Date

06/10/2004

Effective Date

06/10/2004

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006