MASON E HAGERMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246022

License Status

NOT RENEWED

Business

First Name

MASON

Middle

Last Name

HAGERMAN

Prefix

Business Name

MASON E HAGERMAN

Original Issue Date

11/01/2016

Effective Date

04/20/2021

Expiration Date

05/31/2022

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/27/2022