SAMANTHA A HANSEN - Pharmacist License in Illinois | # 049150826

SAMANTHA A HANSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150826

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

A

Last Name

HANSEN

Business Name

SAMANTHA A HANSEN

Original Issue Date

09/24/2003

Effective Date

09/24/2003

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005