SCOTT EDWARD HANSEN - Pharmacist License in Illinois | # 049059485

SCOTT EDWARD HANSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059485

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005