ANN EARLENE WAGNER Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054443

License Status

CANCELLED

Business

First Name

ANN EARLENE

Last Name

WAGNER

Business Name

ANN EARLENE WAGNER

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

10/17/2005