DALE JO HANSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134029

License Status

NOT RENEWED

Business

First Name

DALE

Middle

Last Name

HANSEN

Business Name

DALE JO HANSEN

Original Issue Date

12/13/2000

Effective Date

12/13/2000

Expiration Date

03/31/2002

City

MC NABB

State

Zip

61335

County

PUTNAM

Ever Disciplined

LastModifiedDate

12/06/2005