NATHANIEL XAVIER HANSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213687

License Status

NOT RENEWED

Business

First Name

NATHANIEL

Middle

XAVIER

Last Name

HANSEN

Business Name

NATHANIEL XAVIER HANSEN

Original Issue Date

09/24/2012

Effective Date

04/01/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014