ROBERT LARRY WAGNER - Pharmacist License in Ohio | # 051029831

ROBERT LARRY WAGNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029831

License Status

NOT RENEWED

Business

N

First Name

ROBERT LARRY

Last Name

WAGNER

Business Name

ROBERT LARRY WAGNER

Original Issue Date

12/10/1973

Effective Date

12/10/1973

Expiration Date

01/01/1997

State

OH

Ever Disciplined

N

LastModifiedDate

10/17/2005