KENNETH KARL PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054668

License Status

NOT RENEWED

Business

First Name

KENNETH KARL

Last Name

PETERSON

Business Name

KENNETH KARL PETERSON

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005