MARY E WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073877

License Status

NOT RENEWED

Business

First Name

MARY E

Last Name

WAGNER

Business Name

MARY E WAGNER

Original Issue Date

11/07/1980

Effective Date

11/07/1980

Expiration Date

03/31/1984

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005