Daniel Lyle Petersen
ExpiredIllinois license 049143748
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049143748
- Status
- Expired (Not Renewed)
- First issued
- July 18, 2002
- Expired
- March 31, 2008
- License holder
- Daniel Lyle Petersen
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/09/2007
Contact
Cherry Valley, IL 61016
Winnebago County