MARY KAY PETERSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179329

License Status

INACTIVE

Business

First Name

MARY

Middle

KAY

Last Name

PETERSON

Business Name

MARY KAY PETERSON

Original Issue Date

09/20/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/06/2009