JACOB ROBERT PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049230664

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

ROBERT

Last Name

PETERSON

Business Name

JACOB ROBERT PETERSON

Original Issue Date

01/20/2015

Effective Date

03/14/2016

Expiration Date

03/31/2017

City

LONG GROVE

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2017

Case Number

2014010128

Action

Reprimand

Discipline Start Date

01/06/2015

Discipline Reason

after pled guilty to Driving under the Influence (DUI).