DANIELLE L WAGGONER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125868

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

Last Name

WAGGONER

Business Name

DANIELLE L WAGGONER

Original Issue Date

05/12/1999

Effective Date

05/12/1999

Expiration Date

03/31/2005

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

10/20/2005