HEATHER M WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106598

License Status

NOT RENEWED

Business

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

City

PECATONICA

State

Zip

61063

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005