ROBERT C PEDERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096102

License Status

NOT RENEWED

Business

First Name

ROBERT C

Last Name

PEDERSEN

Business Name

ROBERT C PEDERSEN

Original Issue Date

03/12/1991

Effective Date

03/12/1991

Expiration Date

03/31/1998

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005