DOMINIQUE RENEE PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049315428

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

RENEE

Last Name

PETERSON

Business Name

DOMINIQUE RENEE PETERSON

Original Issue Date

09/24/2024

Effective Date

09/24/2024

Expiration Date

03/31/2025

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

07/08/2025