CHRISTY SUE PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269607

License Status

NOT RENEWED

Business

First Name

CHRISTY

Middle

SUE

Last Name

PETERSON

Business Name

CHRISTY SUE PETERSON

Original Issue Date

11/27/2019

Effective Date

11/27/2019

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2021