REBECCA M WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151492

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

WAGNER

Business Name

REBECCA M WAGNER

Original Issue Date

10/09/2003

Effective Date

10/09/2003

Expiration Date

03/31/2005

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005