KARIN M WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129360

License Status

NOT RENEWED

Business

First Name

KARIN

Middle

Last Name

WAGNER

Business Name

KARIN M WAGNER

Original Issue Date

02/17/2000

Effective Date

02/17/2000

Expiration Date

03/31/2004

City

PEOTONE

State

Zip

60468

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005