MIRIAM J HAGSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098123

License Status

NOT RENEWED

Business

First Name

MIRIAM J

Last Name

HAGSTROM

Business Name

MIRIAM J HAGSTROM

Original Issue Date

09/21/1991

Effective Date

09/21/1991

Expiration Date

03/31/1994

City

CRESTWOOD

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005