ASHLEY J PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131204

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

Last Name

PETERSON

Business Name

ASHLEY J PETERSON

Original Issue Date

06/15/2000

Effective Date

06/15/2000

Expiration Date

03/31/2005

City

MASON CITY

State

Zip

62664

County

MASON

Ever Disciplined

LastModifiedDate

10/20/2005