ANDREA VICTORIA PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257159

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

VICTORIA

Last Name

PETERSON

Business Name

ANDREA VICTORIA PETERSON

Original Issue Date

03/30/2018

Effective Date

03/30/2018

Expiration Date

03/31/2019

City

MONTGOMERY

State

Zip

60538

County

KANE

Ever Disciplined

LastModifiedDate

07/15/2019