MOLLY A PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203178

License Status

NOT RENEWED

Business

First Name

MOLLY

Middle

Last Name

PETERSON

Business Name

MOLLY A PETERSON

Original Issue Date

03/16/2011

Effective Date

03/08/2012

Expiration Date

03/31/2013

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013