JUDITH M WAGONER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078058

License Status

NOT RENEWED

Business

First Name

JUDITH M

Last Name

WAGONER

Business Name

JUDITH M WAGONER

Original Issue Date

03/24/1983

Effective Date

03/24/1983

Expiration Date

03/31/1984

City

TRENTON

State

Zip

62293

County

CLINTON

Ever Disciplined

LastModifiedDate

10/17/2005