ELIZABETH A PETERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049237941

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

PETERSEN

Business Name

ELIZABETH A PETERSEN

Original Issue Date

11/24/2015

Effective Date

02/20/2020

Expiration Date

03/31/2021

City

RACINE

State

Zip

53405

Ever Disciplined

LastModifiedDate

07/20/2021