NICOLE E PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147708

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

PETERSON

Business Name

NICOLE E PETERSON

Original Issue Date

03/31/2003

Effective Date

03/31/2003

Expiration Date

03/31/2004

City

BROOKFIELD

State

Zip

53005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/20/2005