STEVEN PATRICK WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128793

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

PATRICK

Last Name

WAGNER

Business Name

STEVEN PATRICK WAGNER

Original Issue Date

12/29/1999

Effective Date

12/29/1999

Expiration Date

03/31/2001

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005