MARY ANN WAGNER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051037838

License Status

INACTIVE

Business

First Name

MARY ANN

Last Name

WAGNER

Business Name

MARY ANN WAGNER

Original Issue Date

08/14/1990

Effective Date

08/14/1990

Expiration Date

03/31/1996

City

NOME

State

Zip

99762

County

ALASKA

Ever Disciplined

LastModifiedDate

10/17/2005