JAIME BRET PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253024

License Status

NOT RENEWED

Business

First Name

JAIME

Middle

BRET

Last Name

PETERSON

Business Name

JAIME BRET PETERSON

Original Issue Date

09/13/2017

Effective Date

09/13/2017

Expiration Date

03/31/2018

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/19/2018