Matthew A Petersen
SuspendedIllinois license 049264446
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049264446
- Status
- Suspended
- First issued
- April 12, 2019
- Expired
- September 30, 2020
- License holder
- Matthew A Petersen
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/12/2019
- Ever disciplined
- Yes
- Discipline case
- 2019008217
- Discipline action
- Suspension
- Discipline reason
- More Than 30 Days Delinquent in the Payment of Child Support
- Discipline dates
- 08/28/2019
Contact
Woodstock, IL 60098
McHenry County