KEMBA K WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142172

License Status

NOT RENEWED

Business

First Name

KEMBA

Middle

Last Name

WAGNER

Business Name

KEMBA K WAGNER

Original Issue Date

05/02/2002

Effective Date

05/02/2002

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005