MARY LOUSEA PEDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082534

License Status

NOT RENEWED

Business

First Name

MARY LOUSEA

Last Name

PEDERSON

Business Name

MARY LOUSEA PEDERSON

Original Issue Date

05/08/1986

Effective Date

02/18/2016

Expiration Date

03/31/2017

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017