GARY HOWARD PETERSEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027776

License Status

INACTIVE

Business

First Name

GARY HOWARD

Last Name

PETERSEN

Business Name

GARY HOWARD PETERSEN

Original Issue Date

01/01/1997

Expiration Date

03/31/1998

City

TERREBONNE

State

Zip

97760

County

OREGON

Ever Disciplined

LastModifiedDate

10/17/2005