WAYNE L PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025919

License Status

NOT RENEWED

Business

First Name

WAYNE L

Last Name

PETERSON

Business Name

WAYNE L PETERSON

Original Issue Date

01/01/1997

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/04/2010