LUCINDA M PETERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095799

License Status

NOT RENEWED

Business

First Name

LUCINDA M

Last Name

PETERSEN

Business Name

LUCINDA M PETERSEN

Original Issue Date

02/08/1991

Effective Date

01/09/2013

Expiration Date

03/31/2014

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

05/06/2014