RONALD J WAGNER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049089219

License Status

INACTIVE

Business

First Name

RONALD J

Last Name

WAGNER

Business Name

RONALD J WAGNER

Original Issue Date

03/10/1989

Effective Date

01/19/2010

Expiration Date

03/31/2011

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/05/2011