ROBERT GARY WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127490

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

GARY

Last Name

WAGNER

Business Name

ROBERT GARY WAGNER

Original Issue Date

09/17/1999

Effective Date

09/17/1999

Expiration Date

03/31/2001

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/21/2005