SARAH EMILY HANSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158538

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

EMILY

Last Name

HANSEN

Business Name

SARAH EMILY HANSEN

Original Issue Date

12/22/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ROCKFORD

State

Zip

61102

Ever Disciplined

LastModifiedDate

05/14/2007