REBECCA M WAGNER - Pharmacist License in Illinois | # 049151492

REBECCA M WAGNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151492

License Status

NOT RENEWED

Business

N

First Name

REBECCA

Middle

M

Last Name

WAGNER

Business Name

REBECCA M WAGNER

Original Issue Date

10/09/2003

Effective Date

10/09/2003

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005