MACKENZIE LEE WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049272354

License Status

NOT RENEWED

Business

First Name

MACKENZIE

Middle

LEE

Last Name

WAGNER

Business Name

MACKENZIE LEE WAGNER

Original Issue Date

04/07/2020

Effective Date

04/07/2020

Expiration Date

03/31/2021

City

WALFORD

State

Zip

52351

Ever Disciplined

LastModifiedDate

07/20/2021