MALISSA ANNE WAGNER - Pharmacist License in Illinois | # 049127789

MALISSA ANNE WAGNER

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127789

License Status

ACTIVE

Business

N

First Name

MALISSA

Middle

ANNE

Last Name

WAGNER

Business Name

MALISSA ANNE WAGNER

Original Issue Date

10/06/1999

Effective Date

03/12/2026

Expiration Date

03/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

03/12/2026