NICOLE E PETERSON - Pharmacist License in Wisconsin | # 049147708

NICOLE E PETERSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147708

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

E

Last Name

PETERSON

Business Name

NICOLE E PETERSON

Original Issue Date

03/31/2003

Effective Date

03/31/2003

Expiration Date

03/31/2004

State

WI

Ever Disciplined

N

LastModifiedDate

10/20/2005