IRENE C WAGGONER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058869

License Status

NOT RENEWED

Business

First Name

IRENE C

Last Name

WAGGONER

Business Name

IRENE C WAGGONER

Original Issue Date

12/30/1972

Effective Date

12/30/1972

Expiration Date

03/31/1991

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005