EVANNE L WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097113

License Status

NOT RENEWED

Business

First Name

EVANNE L

Last Name

WAGNER

Business Name

EVANNE L WAGNER

Original Issue Date

06/12/1991

Effective Date

06/12/1991

Expiration Date

03/31/1992

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005