RICHARD E WAGNER - Pharmacist License in Illinois | # 049107349

RICHARD E WAGNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107349

License Status

NOT RENEWED

Business

N

First Name

RICHARD E

Last Name

WAGNER

Business Name

RICHARD E WAGNER

Original Issue Date

06/24/1994

Effective Date

06/24/1994

Expiration Date

03/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005