MATTHEW E PETERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225354

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

PETERSEN

Prefix

Business Name

MATTHEW E PETERSEN

Original Issue Date

05/23/2014

Effective Date

01/14/2020

Expiration Date

03/31/2021

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/20/2021