KATHERINE LOUISE PETERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149884

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

LOUISE

Last Name

PETERSEN

Business Name

KATHERINE LOUISE PETERSEN

Original Issue Date

08/19/2003

Effective Date

08/19/2003

Expiration Date

03/31/2004

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005