TARA J HANSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198066

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

HANSEN

Business Name

TARA J HANSEN

Original Issue Date

04/27/2010

Effective Date

02/07/2011

Expiration Date

03/31/2012

City

HAMMOND

State

Zip

46323

County

INDIANA

Ever Disciplined

LastModifiedDate

05/07/2012