STACEY PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049285920

License Status

NOT RENEWED

Business

First Name

STACEY

Last Name

PETERSON

Business Name

STACEY PETERSON

Original Issue Date

09/30/2021

Effective Date

09/30/2021

Expiration Date

05/31/2022

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/27/2022