FRIEDA LYNN WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054812

License Status

NOT RENEWED

Business

First Name

FRIEDA LYNN

Last Name

WAGNER

Business Name

FRIEDA LYNN WAGNER

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

ST ANNE

State

Zip

60964

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005