MICHELLE L PETERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176828

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

PETERSEN

Business Name

MICHELLE L PETERSEN

Original Issue Date

06/06/2007

Effective Date

01/20/2015

Expiration Date

03/31/2016

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016