PATRICIA LEE PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256655

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

LEE

Last Name

PETERSON

Business Name

PATRICIA LEE PETERSON

Original Issue Date

03/12/2018

Effective Date

03/26/2020

Expiration Date

03/31/2021

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/20/2021