STEVEN PATRICK WAGNER - Pharmacist License in Illinois | # 049128793

STEVEN PATRICK WAGNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128793

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005