ERIN PETERSEN INGERSOL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151406

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

PETERSEN

Last Name

INGERSOL

Business Name

ERIN PETERSEN INGERSOL

Original Issue Date

10/07/2003

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/14/2007