LOREN-ASHLEY PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178188

License Status

NOT RENEWED

Business

First Name

LOREN-ASHLEY

Last Name

PETERSON

Business Name

LOREN-ASHLEY PETERSON

Original Issue Date

08/01/2007

Effective Date

02/22/2011

Expiration Date

03/31/2012

City

FORT WORTH

State

Zip

76131

Ever Disciplined

LastModifiedDate

05/07/2012