JOANN M PETERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059011

License Status

NOT RENEWED

Business

First Name

JOANN M

Last Name

PETERSEN

Business Name

JOANN M PETERSEN

Original Issue Date

01/29/1973

Effective Date

01/29/1973

Expiration Date

01/01/1997

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005