JAMIE MICHELLE WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132996

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

MICHELLE

Last Name

WAGNER

Business Name

JAMIE MICHELLE WAGNER

Original Issue Date

10/10/2000

Effective Date

10/10/2000

Expiration Date

03/31/2002

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

12/06/2005