BEVERLY ANN WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049052791

License Status

NOT RENEWED

Business

First Name

BEVERLY ANN

Last Name

WAGNER

Business Name

BEVERLY ANN WAGNER

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005