ADAM LEE PETRIE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159922

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

LEE

Last Name

PETRIE

Business Name

ADAM LEE PETRIE

Original Issue Date

04/06/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

ROUND LAKE HEIGHTS

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2009