PETER J AMUNDSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025880

License Status

NOT RENEWED

Business

First Name

PETER J

Last Name

AMUNDSON

Business Name

PETER J AMUNDSON

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/06/2005