BETH A HAGEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173383

License Status

INACTIVE

Business

First Name

BETH

Middle

Last Name

HAGEN

Business Name

BETH A HAGEN

Original Issue Date

12/27/2006

Effective Date

03/22/2013

Expiration Date

03/31/2014

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/09/2014