SHIRLEY R PERALTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225474

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Middle

Last Name

PERALTA

Business Name

SHIRLEY R PERALTA

Original Issue Date

05/28/2014

Effective Date

01/10/2020

Expiration Date

03/31/2021

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/20/2021