OCTAVIA MONIQUE PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049286818

License Status

NOT RENEWED

Business

First Name

OCTAVIA

Middle

MONIQUE

Last Name

PETERSON

Business Name

OCTAVIA MONIQUE PETERSON

Original Issue Date

10/23/2021

Effective Date

10/23/2021

Expiration Date

05/31/2022

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/27/2022