STEPHANIE MICHELE PETERS MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192423

License Status

NOT RENEWED

Business

Title

First Name

STEPHANIE

Middle

MICHELE

Last Name

PETERS

Business Name

STEPHANIE MICHELE PETERS MD

Original Issue Date

06/18/2009

Effective Date

06/18/2009

Expiration Date

03/31/2010

City

HOMER GLEN

State

Zip

60491

County

WILL

Ever Disciplined

LastModifiedDate

05/04/2010