SCOTT PETERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061009

License Status

NOT RENEWED

Business

First Name

SCOTT

Last Name

PETERSEN

Business Name

SCOTT PETERSEN

Original Issue Date

02/15/1974

Effective Date

02/15/1974

Expiration Date

03/31/1982

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005