JAMIE LYN WAGNER - Pharmacist License in Wisconsin | # 049148136

JAMIE LYN WAGNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148136

License Status

NOT RENEWED

Business

N

First Name

JAMIE

Middle

LYN

Last Name

WAGNER

Business Name

JAMIE LYN WAGNER

Original Issue Date

04/17/2003

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

WI

Ever Disciplined

N

LastModifiedDate

05/14/2007