BRIAN M PETERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134547

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

PETERSEN

Business Name

BRIAN M PETERSEN

Original Issue Date

02/13/2001

Effective Date

02/13/2001

Expiration Date

03/31/2005

City

DURANT

State

Zip

52747

County

IOWA

Ever Disciplined

LastModifiedDate

10/20/2005