JESSICA LYNN WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123398

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

LYNN

Last Name

WAGNER

Business Name

JESSICA LYNN WAGNER

Original Issue Date

10/23/1998

Effective Date

10/23/1998

Expiration Date

03/31/2001

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/21/2005