LATRICE DEVON PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172134

License Status

NOT RENEWED

Business

First Name

LATRICE

Middle

DEVON

Last Name

PETERSON

Business Name

LATRICE DEVON PETERSON

Original Issue Date

10/30/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008