MATTHEW R HANSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198554

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

HANSEN

Business Name

MATTHEW R HANSEN

Original Issue Date

05/26/2010

Effective Date

01/08/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014