RICHARD A PETERSEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051038179

License Status

INACTIVE

Business

First Name

RICHARD A

Last Name

PETERSEN

Business Name

RICHARD A PETERSEN

Original Issue Date

12/11/1990

Effective Date

02/22/2010

Expiration Date

03/31/2012

City

CLINTON

State

Zip

52732

County

IOWA

Ever Disciplined

LastModifiedDate

01/12/2012