KATHLEEN M WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049089546

License Status

NOT RENEWED

Business

First Name

KATHLEEN M

Last Name

WAGNER

Business Name

KATHLEEN M WAGNER

Original Issue Date

04/09/1989

Effective Date

04/09/1989

Expiration Date

03/31/1992

City

BRIDGEVIEW

State

Zip

60455

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005