NEIL HANSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064583

License Status

NOT RENEWED

Business

First Name

NEIL

Last Name

HANSEN

Business Name

NEIL HANSEN

Original Issue Date

12/12/1975

Effective Date

12/12/1975

Expiration Date

01/01/1997

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005