MICHAEL L PETERSEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036920

License Status

INACTIVE

Business

First Name

MICHAEL L

Last Name

PETERSEN

Business Name

MICHAEL L PETERSEN

Original Issue Date

04/25/1988

Effective Date

04/25/1988

Expiration Date

03/31/1990

City

ONALASKA

State

Zip

54650

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005