DONNA J WAGNAAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093098

License Status

NOT RENEWED

Business

First Name

DONNA J

Last Name

WAGNAAR

Business Name

DONNA J WAGNAAR

Original Issue Date

08/31/1990

Effective Date

08/31/1990

Expiration Date

03/31/2003

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005