DEBRA MARIE PETERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104465

License Status

NOT RENEWED

Business

First Name

DEBRA MARIE

Last Name

PETERSEN

Business Name

DEBRA MARIE PETERSEN

Original Issue Date

09/09/1993

Effective Date

09/09/1993

Expiration Date

03/31/1994

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005