MICHELLE R WAGNER - Pharmacist License in Illinois | # 049085160

MICHELLE R WAGNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085160

License Status

NOT RENEWED

Business

N

First Name

MICHELLE R

Last Name

WAGNER

Business Name

MICHELLE R WAGNER

Original Issue Date

09/05/1987

Effective Date

09/05/1987

Expiration Date

03/31/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005