DORIS MARIE WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070152

License Status

NOT RENEWED

Business

First Name

DORIS MARIE

Last Name

WAGNER

Business Name

DORIS MARIE WAGNER

Original Issue Date

09/29/1978

Effective Date

09/29/1978

Expiration Date

03/31/1982

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005