ALEXANDER SCOTT PETERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151041

License Status

NOT RENEWED

Business

First Name

ALEXANDER

Middle

SCOTT

Last Name

PETERSEN

Business Name

ALEXANDER SCOTT PETERSEN

Original Issue Date

09/29/2003

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

RICHMOND

State

Zip

60071

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/14/2007