KIMBERLEY SUE HANSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130269

License Status

NOT RENEWED

Business

First Name

KIMBERLEY

Middle

SUE

Last Name

HANSEN

Business Name

KIMBERLEY SUE HANSEN

Original Issue Date

03/28/2000

Effective Date

03/28/2000

Expiration Date

03/31/2004

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005