DAWN MARIE WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103578

License Status

NOT RENEWED

Business

First Name

DAWN MARIE

Last Name

WAGNER

Business Name

DAWN MARIE WAGNER

Original Issue Date

06/01/1993

Effective Date

06/01/1993

Expiration Date

03/31/1997

City

KEMPTON

State

Zip

60946

County

FORD

Ever Disciplined

LastModifiedDate

10/17/2005