DEBRA J WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152702

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

Last Name

WAGNER

Business Name

DEBRA J WAGNER

Original Issue Date

12/23/2003

Effective Date

12/23/2003

Expiration Date

03/31/2006

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

05/11/2006