KEVIN B HAGEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096587

License Status

NOT RENEWED

Business

First Name

KEVIN B

Last Name

HAGEN

Business Name

KEVIN B HAGEN

Original Issue Date

04/23/1991

Effective Date

02/02/2016

Expiration Date

03/31/2017

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017