STEPHANIE JANE PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049227947

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

JANE

Last Name

PETERSON

Business Name

STEPHANIE JANE PETERSON

Original Issue Date

09/18/2014

Effective Date

04/01/2015

Expiration Date

03/31/2016

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016