HEATHER M WAGNER - Pharmacist License in Illinois | # 049106598

HEATHER M WAGNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106598

License Status

NOT RENEWED

Business

N

First Name

HEATHER M

Last Name

WAGNER

Business Name

HEATHER M WAGNER

Original Issue Date

04/18/1994

Effective Date

04/18/1994

Expiration Date

03/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005