LACEY PETERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137241

License Status

NOT RENEWED

Business

First Name

LACEY

Last Name

PETERSEN

Business Name

LACEY PETERSEN

Original Issue Date

07/17/2001

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

CAMP POINT

State

Zip

62320

County

ADAMS

Ever Disciplined

LastModifiedDate

07/20/2021