DORIS MARIE WAGNER - Pharmacist License in Illinois | # 049070152

DORIS MARIE WAGNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070152

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005