SALENA A WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114071

License Status

NOT RENEWED

Business

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

City

PECATONICA

State

Zip

61063

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005