BENJAMIN BRUCE PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256929

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

BRUCE

Last Name

PETERSON

Business Name

BENJAMIN BRUCE PETERSON

Original Issue Date

03/21/2018

Effective Date

03/21/2018

Expiration Date

03/31/2019

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019