BRENT EDWARD PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147159

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

EDWARD

Last Name

PETERSON

Business Name

BRENT EDWARD PETERSON

Original Issue Date

02/25/2003

Effective Date

02/25/2003

Expiration Date

03/31/2004

City

PLANO

State

Zip

60545

County

KENDALL

Ever Disciplined

LastModifiedDate

10/20/2005