JERRY WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025410

License Status

NOT RENEWED

Business

First Name

JERRY

Last Name

WAGNER

Business Name

JERRY WAGNER

Original Issue Date

01/01/1997

Expiration Date

03/31/1990

City

CANOGA PARK

State

Zip

91304

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/17/2005