ASHLEY NICOLE PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156980

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

NICOLE

Last Name

PETERSON

Business Name

ASHLEY NICOLE PETERSON

Original Issue Date

08/27/2004

Effective Date

12/02/2009

Expiration Date

03/31/2010

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/04/2010