MARCY ANN WAGNER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286049

License Status

INACTIVE

Business

First Name

MARCY

Middle

ANN

Last Name

WAGNER

Prefix

Business Name

MARCY ANN WAGNER

Original Issue Date

08/06/1997

Effective Date

08/06/1997

Expiration Date

03/31/1998

City

ALTOONA

State

Zip

50009

County

IOWA

Ever Disciplined

LastModifiedDate

10/17/2005