KRISTIN L WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092076

License Status

NOT RENEWED

Business

First Name

KRISTIN L

Last Name

WAGNER

Business Name

KRISTIN L WAGNER

Original Issue Date

01/27/1990

Effective Date

01/27/1990

Expiration Date

03/31/1991

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005