SCOTT EDWARD HANSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059485

License Status

NOT RENEWED

Business

First Name

SCOTT EDWARD

Last Name

HANSEN

Business Name

SCOTT EDWARD HANSEN

Original Issue Date

05/11/1973

Effective Date

05/11/1973

Expiration Date

01/01/1997

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005