KIMBERLY ANN PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194907

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

PETERSON

Business Name

KIMBERLY ANN PETERSON

Original Issue Date

10/19/2009

Effective Date

03/17/2011

Expiration Date

03/31/2012

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/07/2012