JOHN K WAGNER - Pharmacist License in Illinois | # 049058035

JOHN K WAGNER

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058035

License Status

CANCELLED

Business

N

First Name

JOHN K

Last Name

WAGNER

Business Name

JOHN K WAGNER

Original Issue Date

07/01/1972

Effective Date

07/01/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005