PAMELA A WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135197

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

Last Name

WAGNER

Business Name

PAMELA A WAGNER

Original Issue Date

03/15/2001

Effective Date

03/15/2001

Expiration Date

03/31/2002

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005