MARY A PETERSEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051021693

License Status

INACTIVE

Business

First Name

MARY A

Last Name

PETERSEN

Business Name

MARY A PETERSEN

Original Issue Date

01/01/1997

Expiration Date

03/31/1986

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005