BRIAN M PETERSEN - Pharmacist License in Iowa | # 049134547

BRIAN M PETERSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134547

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

M

Last Name

PETERSEN

Business Name

BRIAN M PETERSEN

Original Issue Date

02/13/2001

Effective Date

02/13/2001

Expiration Date

03/31/2005

State

IA

Ever Disciplined

N

LastModifiedDate

10/20/2005