STACIE A PEDERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145525

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

Last Name

PEDERSEN

Business Name

STACIE A PEDERSEN

Original Issue Date

10/25/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

MINNEAPOLIS

State

Zip

55412

County

MINNESOTA

Ever Disciplined

LastModifiedDate

05/02/2008