DEBRA E WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081172

License Status

NOT RENEWED

Business

First Name

DEBRA E

Last Name

WAGNER

Business Name

DEBRA E WAGNER

Original Issue Date

06/17/1985

Effective Date

06/17/1985

Expiration Date

03/31/1990

City

HARTSBURG

State

Zip

62643

County

LOGAN

Ever Disciplined

LastModifiedDate

10/17/2005