KURT EDWARD PETERSON JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136032

License Status

NOT RENEWED

Business

First Name

KURT

Middle

EDWARD

Last Name

PETERSON

Suffix

Business Name

KURT EDWARD PETERSON JR

Original Issue Date

04/24/2001

Effective Date

04/24/2001

Expiration Date

03/31/2004

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005