JOHN JUSTIN HANSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157209

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

JUSTIN

Last Name

HANSEN

Business Name

JOHN JUSTIN HANSEN

Original Issue Date

09/24/2004

Effective Date

03/07/2011

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012