PATRICIA M WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070040

License Status

NOT RENEWED

Business

First Name

PATRICIA M

Last Name

WAGNER

Business Name

PATRICIA M WAGNER

Original Issue Date

09/08/1978

Effective Date

09/08/1978

Expiration Date

03/31/1992

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005