A LEOTA HANSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081113

License Status

NOT RENEWED

Business

First Name

A LEOTA

Last Name

HANSEN

Business Name

A LEOTA HANSEN

Original Issue Date

06/12/1985

Effective Date

06/12/1985

Expiration Date

03/31/1997

City

ROCHELLE

State

Zip

61068

County

OGLE

Ever Disciplined

LastModifiedDate

10/17/2005