CHRISTINA E WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160980

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

Last Name

WAGNER

Business Name

CHRISTINA E WAGNER

Original Issue Date

05/12/2005

Effective Date

02/09/2011

Expiration Date

03/31/2012

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012