BRONWYN S PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195328

License Status

NOT RENEWED

Business

First Name

BRONWYN

Middle

Last Name

PETERSON

Business Name

BRONWYN S PETERSON

Original Issue Date

11/15/2009

Effective Date

03/08/2010

Expiration Date

03/31/2011

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/12/2011