ANGELA DAWN PETERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049249338

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

DAWN

Last Name

PETERSEN

Business Name

ANGELA DAWN PETERSEN

Original Issue Date

03/23/2017

Effective Date

03/29/2018

Expiration Date

03/31/2019

City

GENESEO

State

Zip

61354

County

HENRY

Ever Disciplined

LastModifiedDate

07/15/2019