ERIK HANSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207058

License Status

NOT RENEWED

Business

First Name

ERIK

Last Name

HANSEN

Prefix

Business Name

ERIK HANSEN

Original Issue Date

10/02/2011

Effective Date

02/21/2012

Expiration Date

03/31/2013

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2013