MARSHA L WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061389

License Status

NOT RENEWED

Business

First Name

MARSHA L

Last Name

WAGNER

Business Name

MARSHA L WAGNER

Original Issue Date

04/26/1974

Effective Date

04/26/1974

Expiration Date

01/01/1997

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005