DOUGLAS B HANSELMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092457

License Status

NOT RENEWED

Business

First Name

DOUGLAS B

Last Name

HANSELMAN

Business Name

DOUGLAS B HANSELMAN

Original Issue Date

03/06/1990

Effective Date

03/06/1990

Expiration Date

03/31/1991

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005