LAURA M PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203461

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

PETERSON

Prefix

Business Name

LAURA M PETERSON

Original Issue Date

04/02/2011

Effective Date

01/24/2012

Expiration Date

03/31/2013

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013