MICHAEL WAGNER - Pharmacist License in Illinois | # 049059569

MICHAEL WAGNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059569

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Last Name

WAGNER

Business Name

MICHAEL WAGNER

Original Issue Date

05/24/1973

Effective Date

05/24/1973

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005