RUTH A PETERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128694

License Status

NOT RENEWED

Business

First Name

RUTH

Middle

Last Name

PETERSEN

Business Name

RUTH A PETERSEN

Original Issue Date

12/22/1999

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

TOLUCA

State

Zip

61369

County

MARSHALL

Ever Disciplined

LastModifiedDate

05/02/2008