ALISON M HAGENBACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126051

License Status

NOT RENEWED

Business

First Name

ALISON

Middle

Last Name

HAGENBACH

Business Name

ALISON M HAGENBACH

Original Issue Date

05/25/1999

Effective Date

05/25/1999

Expiration Date

03/31/2004

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/20/2005