Debra Marie Petersen
ExpiredIllinois license 049104465
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049104465
- Status
- Expired (Not Renewed)
- First issued
- September 9, 1993
- Expired
- March 31, 1994
- License holder
- Debra Marie Petersen
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 09/09/1993
Contact
Kenosha, WI 53143
Wisconsin County