STEPHEN BLAINE PETERSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029231

License Status

INACTIVE

Business

First Name

STEPHEN BLAINE

Last Name

PETERSON

Business Name

STEPHEN BLAINE PETERSON

Original Issue Date

08/05/1972

Effective Date

08/05/1972

Expiration Date

03/31/1988

City

GOTHENBURG

State

Zip

69138

County

NEBRASKA

Ever Disciplined

LastModifiedDate

10/17/2005