MICHAEL ERIC PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116899

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

ERIC

Last Name

PETERSON

Business Name

MICHAEL ERIC PETERSON

Original Issue Date

03/21/1997

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008