ANDREA MARIE WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119903

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

MARIE

Last Name

WAGNER

Business Name

ANDREA MARIE WAGNER

Original Issue Date

01/22/1998

Effective Date

01/22/1998

Expiration Date

03/31/2001

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005