MARY ELLEN WAGNER - Pharmacist License in Illinois | # 049113285

MARY ELLEN WAGNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113285

License Status

NOT RENEWED

Business

N

First Name

MARY ELLEN

Last Name

WAGNER

Business Name

MARY ELLEN WAGNER

Original Issue Date

02/01/1996

Effective Date

02/18/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021