PATTI S WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095587

License Status

NOT RENEWED

Business

First Name

PATTI S

Last Name

WAGNER

Business Name

PATTI S WAGNER

Original Issue Date

01/25/1991

Effective Date

01/25/1991

Expiration Date

03/31/1996

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005