SHAWN L PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166998

License Status

NOT RENEWED

Business

First Name

SHAWN

Middle

Last Name

PETERSON

Business Name

SHAWN L PETERSON

Original Issue Date

03/23/2006

Effective Date

03/23/2006

Expiration Date

03/31/2007

City

ALEDO

State

Zip

61231

County

MERCER

Ever Disciplined

LastModifiedDate

05/14/2007