DOUGLAS D HANSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110831

License Status

NOT RENEWED

Business

First Name

DOUGLAS D

Last Name

HANSEN

Business Name

DOUGLAS D HANSEN

Original Issue Date

06/13/1995

Effective Date

04/02/2015

Expiration Date

03/31/2016

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

05/20/2016