ELLEN MARIE PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036508

License Status

NOT RENEWED

Business

First Name

ELLEN MARIE

Last Name

PETERSON

Business Name

ELLEN MARIE PETERSON

Original Issue Date

12/26/1986

Effective Date

12/26/1986

Expiration Date

03/31/1996

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005