SHAUNA R PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145906

License Status

NOT RENEWED

Business

First Name

SHAUNA

Middle

Last Name

PETERSON

Business Name

SHAUNA R PETERSON

Original Issue Date

11/19/2002

Effective Date

11/19/2002

Expiration Date

03/31/2004

City

OWASSO

State

Zip

74055

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

10/20/2005