SEAN PHILLIP WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140784

License Status

NOT RENEWED

Business

First Name

SEAN

Middle

PHILLIP

Last Name

WAGNER

Business Name

SEAN PHILLIP WAGNER

Original Issue Date

02/20/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/14/2007