MICHAEL A HANSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141205

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

HANSEN

Business Name

MICHAEL A HANSEN

Original Issue Date

03/06/2002

Effective Date

03/06/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005