ROBERT PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204296

License Status

NOT RENEWED

Business

First Name

ROBERT

Last Name

PETERSON

Business Name

ROBERT PETERSON

Original Issue Date

05/22/2011

Effective Date

05/22/2011

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012