ROBERT L HAGEN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061438

License Status

CANCELLED

Business

First Name

ROBERT L

Last Name

HAGEN

Business Name

ROBERT L HAGEN

Original Issue Date

05/10/1974

Effective Date

05/10/1974

Expiration Date

01/01/1997

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

10/17/2005