ANDREA MARIE WAGNER - Pharmacist License in Illinois | # 049119903

ANDREA MARIE WAGNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119903

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005