NANCY M WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096769

License Status

NOT RENEWED

Business

First Name

NANCY M

Last Name

WAGNER

Business Name

NANCY M WAGNER

Original Issue Date

05/03/1991

Effective Date

05/03/1991

Expiration Date

03/31/1993

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005