KATHY LYNN WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082570

License Status

NOT RENEWED

Business

First Name

KATHY LYNN

Last Name

WAGNER

Business Name

KATHY LYNN WAGNER

Original Issue Date

05/08/1986

Effective Date

03/27/2018

Expiration Date

03/31/2019

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019