JOHN K WAGNER Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058035

License Status

CANCELLED

Business

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

City

HENRY

State

Zip

61537

County

MARSHALL

Ever Disciplined

LastModifiedDate

10/17/2005