License holder summary

FRED R PETERSEN is a Pharmacy - Pharmacist Controlled Substance licensed to practice in Utah. The address on file for FRED R PETERSEN is PROVO, UT 84604. This licensed professional license is not current. The license was granted 01/01/1911 and expired on 05/31/2003.

Utah

Division of Occupational and Professional Licensing

FRED R PETERSEN
Pharmacy - Pharmacist Controlled Substance
License number
139043-8911
Date granted
01/01/1911
Date expires
05/31/2003
Class
Pharmacy - Pharmacist Controlled Substance
Status
Expired
Address
PROVO, UT 84604
utahlicensing.org
ID 29903625
LAST UPDATED 2024-03-21 18:23:54 UTC

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