MICHAEL DAVID PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109767

License Status

NOT RENEWED

Business

First Name

MICHAEL DAVID

Last Name

PETERSON

Business Name

MICHAEL DAVID PETERSON

Original Issue Date

03/09/1995

Effective Date

03/09/1995

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005