ANN MARIE WAGNER - Pharmacist License in Illinois | # 049069135

ANN MARIE WAGNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069135

License Status

NOT RENEWED

Business

N

First Name

ANN MARIE

Last Name

WAGNER

Business Name

ANN MARIE WAGNER

Original Issue Date

04/07/1978

Effective Date

04/07/1978

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005