KENT E PETERSON RPH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027829

License Status

INACTIVE

Business

First Name

KENT

Middle

Last Name

PETERSON

Suffix

RPH

Business Name

KENT E PETERSON RPH

Original Issue Date

03/05/1969

Effective Date

04/30/2010

Expiration Date

03/31/2012

City

SHOREVIEW

State

Zip

55126

County

MINNESOTA

Ever Disciplined

LastModifiedDate

01/12/2012