GRANT A HANSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193745

License Status

NOT RENEWED

Business

First Name

GRANT

Middle

Last Name

HANSEN

Prefix

Business Name

GRANT A HANSEN

Original Issue Date

08/20/2009

Effective Date

08/20/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010