CHRISTINE L WAGNER Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070641

License Status

CANCELLED

Business

First Name

CHRISTINE L

Last Name

WAGNER

Business Name

CHRISTINE L WAGNER

Original Issue Date

02/02/1979

Effective Date

02/02/1979

Expiration Date

03/31/1984

City

DIVERNON

State

Zip

62530

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005