IAN W PETERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217142

License Status

NOT RENEWED

Business

First Name

IAN

Middle

Last Name

PETERSEN

Prefix

Business Name

IAN W PETERSEN

Original Issue Date

04/03/2013

Effective Date

02/02/2016

Expiration Date

03/31/2017

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/10/2017