SHANE PETER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201092

License Status

NOT RENEWED

Business

First Name

SHANE

Last Name

PETER

Prefix

Business Name

SHANE PETER

Original Issue Date

10/17/2010

Effective Date

10/17/2010

Expiration Date

03/31/2011

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

05/12/2011