MALISSA ANNE WAGNER Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127789

License Status

ACTIVE

Business

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

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/12/2026