MICHAEL L PETERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085739

License Status

NOT RENEWED

Business

First Name

MICHAEL L

Last Name

PETERSEN

Business Name

MICHAEL L PETERSEN

Original Issue Date

12/07/1987

Effective Date

12/07/1987

Expiration Date

03/31/1988

City

DAVENPORT

State

Zip

52807

County

IOWA

Ever Disciplined

LastModifiedDate

10/17/2005