SUSAN N PETERSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029111

License Status

INACTIVE

Business

First Name

SUSAN N

Last Name

PETERSON

Business Name

SUSAN N PETERSON

Original Issue Date

05/26/1972

Effective Date

01/22/2014

Expiration Date

03/31/2016

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

01/28/2016