SHY LYNN WAGONER - Pharmacist License in Illinois | # 049125874

SHY LYNN WAGONER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125874

License Status

NOT RENEWED

Business

N

First Name

SHY

Middle

LYNN

Last Name

WAGONER

Business Name

SHY LYNN WAGONER

Original Issue Date

05/12/1999

Effective Date

05/12/1999

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005