MARY LYNN BAGWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072913

License Status

NOT RENEWED

Business

First Name

MARY LYNN

Last Name

BAGWELL

Business Name

MARY LYNN BAGWELL

Original Issue Date

05/09/1980

Effective Date

05/09/1980

Expiration Date

03/31/1984

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005