KRISTIE K WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085760

License Status

NOT RENEWED

Business

First Name

KRISTIE K

Last Name

WAGNER

Business Name

KRISTIE K WAGNER

Original Issue Date

12/15/1987

Effective Date

12/15/1987

Expiration Date

03/31/1988

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/17/2005