DALE GILBERT HANSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154476

License Status

NOT RENEWED

Business

First Name

DALE

Middle

GILBERT

Last Name

HANSON

Business Name

DALE GILBERT HANSON

Original Issue Date

05/21/2004

Effective Date

03/03/2014

Expiration Date

03/31/2015

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

05/11/2015