PETER NICKLAUS HANSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197413

License Status

NOT RENEWED

Business

First Name

PETER

Middle

NICKLAUS

Last Name

HANSEN

Business Name

PETER NICKLAUS HANSEN

Original Issue Date

03/22/2010

Effective Date

03/22/2010

Expiration Date

03/31/2011

City

KIRKLAND

State

Zip

60146

County

DEKALB

Ever Disciplined

LastModifiedDate

05/12/2011