NATHAN K WAGNER - Pharmacist License in Illinois | # 049089549

NATHAN K WAGNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049089549

License Status

NOT RENEWED

Business

N

First Name

NATHAN K

Last Name

WAGNER

Business Name

NATHAN K WAGNER

Original Issue Date

04/11/1989

Effective Date

04/11/1989

Expiration Date

03/31/1990

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005