MACEY M PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217300

License Status

NOT RENEWED

Business

First Name

MACEY

Middle

Last Name

PETERSON

Prefix

Business Name

MACEY M PETERSON

Original Issue Date

04/10/2013

Effective Date

04/10/2013

Expiration Date

03/31/2014

City

MACKINAW

State

Zip

61755

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/06/2014