SANDRA L PETERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109617

License Status

NOT RENEWED

Business

First Name

SANDRA L

Last Name

PETERSEN

Business Name

SANDRA L PETERSEN

Original Issue Date

02/23/1995

Effective Date

02/23/1995

Expiration Date

03/31/1996

City

WONDER LAKE

State

Zip

60097

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005