MICHELLE R WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099353

License Status

NOT RENEWED

Business

First Name

MICHELLE R

Last Name

WAGNER

Business Name

MICHELLE R WAGNER

Original Issue Date

02/10/1992

Effective Date

02/10/1992

Expiration Date

03/31/1995

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005