ALYSSA A PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219237

License Status

NOT RENEWED

Business

First Name

ALYSSA

Middle

Last Name

PETERSON

Business Name

ALYSSA A PETERSON

Original Issue Date

07/09/2013

Effective Date

03/22/2017

Expiration Date

03/31/2018

City

ARCOLA

State

Zip

61910

County

MOULTRIE

Ever Disciplined

LastModifiedDate

06/19/2018