TYLER E PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049234447

License Status

NOT RENEWED

Business

First Name

TYLER

Middle

Last Name

PETERSON

Business Name

TYLER E PETERSON

Original Issue Date

07/14/2015

Effective Date

07/14/2015

Expiration Date

03/31/2016

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/20/2016