KRISTY E PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157029

License Status

NOT RENEWED

Business

First Name

KRISTY

Middle

Last Name

PETERSON

Business Name

KRISTY E PETERSON

Original Issue Date

09/01/2004

Effective Date

09/01/2004

Expiration Date

03/31/2005

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005