GARY R WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059139

License Status

NOT RENEWED

Business

First Name

GARY R

Last Name

WAGNER

Business Name

GARY R WAGNER

Original Issue Date

02/26/1973

Effective Date

02/26/1973

Expiration Date

01/01/1997

City

FRANKLIN PARK

State

Zip

60131

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005