ROBERT L HAGEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031611

License Status

INACTIVE

Business

First Name

ROBERT L

Last Name

HAGEN

Business Name

ROBERT L HAGEN

Original Issue Date

08/18/1977

Effective Date

03/09/2018

Expiration Date

09/30/2020

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

01/04/2020