AVA ROSE PETERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049289686

License Status

NOT RENEWED

Business

First Name

AVA

Middle

ROSE

Last Name

PETERSEN

Business Name

AVA ROSE PETERSEN

Original Issue Date

01/14/2022

Effective Date

03/15/2023

Expiration Date

03/31/2024

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

01/03/2025