THERESA S WAGNER RETTIG Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095047

License Status

INACTIVE

Business

First Name

THERESA S

Last Name

WAGNER RETTIG

Business Name

THERESA S WAGNER RETTIG

Original Issue Date

11/09/1990

Effective Date

03/14/2011

Expiration Date

03/31/2012

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

01/12/2012