DAVID LAWRENCE PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049287503

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

LAWRENCE

Last Name

PETERSON

Business Name

DAVID LAWRENCE PETERSON

Original Issue Date

11/02/2021

Effective Date

05/04/2022

Expiration Date

03/31/2023

City

WEST PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/07/2023