ROBERTA LYNN HANSEN - Pharmacist License in Illinois | # 049062702

ROBERTA LYNN HANSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062702

License Status

NOT RENEWED

Business

N

First Name

ROBERTA LYNN

Last Name

HANSEN

Business Name

ROBERTA LYNN HANSEN

Original Issue Date

12/20/1974

Effective Date

12/20/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005