CHERYL LYNN HANSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070988

License Status

NOT RENEWED

Business

First Name

CHERYL LYNN

Last Name

HANSEN

Business Name

CHERYL LYNN HANSEN

Original Issue Date

04/13/1979

Effective Date

04/13/1979

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005