OWEN PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064076

License Status

NOT RENEWED

Business

First Name

OWEN

Last Name

PETERSON

Business Name

OWEN PETERSON

Original Issue Date

08/22/1975

Effective Date

08/22/1975

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005