BRIAN G HAGEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122687

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

HAGEN

Business Name

BRIAN G HAGEN

Original Issue Date

09/01/1998

Effective Date

09/01/1998

Expiration Date

03/31/2001

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005