STEVEN LYLE WAGNER - Pharmacist License in Illinois | # 049057990

STEVEN LYLE WAGNER

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057990

License Status

CANCELLED

Business

N

First Name

STEVEN LYLE

Last Name

WAGNER

Business Name

STEVEN LYLE WAGNER

Original Issue Date

06/24/1972

Effective Date

06/24/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005