SALENA A WAGNER - Pharmacist License in Illinois | # 049114071

SALENA A WAGNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114071

License Status

NOT RENEWED

Business

N

First Name

SALENA A

Last Name

WAGNER

Business Name

SALENA A WAGNER

Original Issue Date

04/25/1996

Effective Date

04/25/1996

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005