JASON L WAGGONER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143298

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

WAGGONER

Business Name

JASON L WAGGONER

Original Issue Date

06/18/2002

Effective Date

06/18/2002

Expiration Date

03/31/2005

City

TOLEDO

State

Zip

62468

County

CUMBERLAND

Ever Disciplined

LastModifiedDate

10/20/2005