DEBRA MARIE PETERSEN - Pharmacist License in Wisconsin | # 049104465

DEBRA MARIE PETERSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104465

License Status

NOT RENEWED

Business

N

First Name

DEBRA MARIE

Last Name

PETERSEN

Business Name

DEBRA MARIE PETERSEN

Original Issue Date

09/09/1993

Effective Date

09/09/1993

Expiration Date

03/31/1994

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005