AMANDA LEIGH PETERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184731

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

LEIGH

Last Name

PETERSEN

Business Name

AMANDA LEIGH PETERSEN

Original Issue Date

06/05/2008

Effective Date

02/03/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017