ANN EARLENE WAGNER - Pharmacist License in Illinois | # 049054443

ANN EARLENE WAGNER

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054443

License Status

CANCELLED

Business

N

First Name

ANN EARLENE

Last Name

WAGNER

Business Name

ANN EARLENE WAGNER

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005