Fred R Petersen
Pharmacy in Provo, UT

License number
Utah 139043-1719
Issued Date
Mar 12, 1974
Expiration Date
May 31, 2003
Category
Pharmacy
Type
Pharmacist Preceptor - Obsolete
Address
Address
Provo, UT
LicenseFiles verified this license of Dec 3, 2016 at the Utah Division of Occupational and Professional Licensing.

Personal information

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Name
Address
Phone
Fred Petersen, age 91
677 E 200 N, Bountiful, UT 84010
(801) 380-4144
Fred Petersen
Bountiful, UT
(801) 295-5438

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