MARY ELLEN PETERSEN Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049275272

License Status

ACTIVE

Business

First Name

MARY

Middle

ELLEN

Last Name

PETERSEN

Business Name

MARY ELLEN PETERSEN

Original Issue Date

08/24/2020

Effective Date

02/06/2026

Expiration Date

03/31/2027

City

BEARDSTOWN

State

Zip

62618

Ever Disciplined

LastModifiedDate

02/06/2026