CATHY MARIE WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128853

License Status

NOT RENEWED

Business

First Name

CATHY

Middle

MARIE

Last Name

WAGNER

Business Name

CATHY MARIE WAGNER

Original Issue Date

01/04/2000

Effective Date

01/04/2000

Expiration Date

03/31/2001

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/21/2005