TODD S PETERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155946

License Status

NOT RENEWED

Business

First Name

TODD

Middle

Last Name

PETERSEN

Business Name

TODD S PETERSEN

Original Issue Date

07/06/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

HOFFMAN ESTATES

State

Zip

60192

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008