LAVANJA L PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248979

License Status

NOT RENEWED

Business

First Name

LAVANJA

Middle

Last Name

PETERSON

Business Name

LAVANJA L PETERSON

Original Issue Date

03/09/2017

Effective Date

03/09/2017

Expiration Date

03/31/2018

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

06/19/2018