SCOTT MCBRIDE PETERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114315

License Status

NOT RENEWED

Business

First Name

SCOTT MCBRIDE

Last Name

PETERSEN

Business Name

SCOTT MCBRIDE PETERSEN

Original Issue Date

05/24/1996

Effective Date

05/24/1996

Expiration Date

03/31/1997

City

LAKEWOOD

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005