STEPHANIE ANNAMARIE WAGENER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144465

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

ANNAMARIE

Last Name

WAGENER

Business Name

STEPHANIE ANNAMARIE WAGENER

Original Issue Date

09/05/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008