TIFFANY M PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238477

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

PETERSON

Business Name

TIFFANY M PETERSON

Original Issue Date

12/23/2015

Effective Date

12/23/2015

Expiration Date

03/31/2016

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/20/2016