JEFFREY PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245219

License Status

NOT RENEWED

Business

First Name

JEFFREY

Last Name

PETERSON

Business Name

JEFFREY PETERSON

Original Issue Date

10/05/2016

Effective Date

01/22/2018

Expiration Date

03/31/2019

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

07/15/2019