DENISE E WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073835

License Status

NOT RENEWED

Business

First Name

DENISE E

Last Name

WAGNER

Business Name

DENISE E WAGNER

Original Issue Date

10/31/1980

Effective Date

10/31/1980

Expiration Date

03/31/1982

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/17/2005