MICHELLE R WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085160

License Status

NOT RENEWED

Business

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

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005