PHONICIA FLORIS PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222019

License Status

NOT RENEWED

Business

First Name

PHONICIA

Middle

FLORIS

Last Name

PETERSON

Business Name

PHONICIA FLORIS PETERSON

Original Issue Date

11/15/2013

Effective Date

03/02/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016