ZACH J WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177434

License Status

NOT RENEWED

Business

First Name

ZACH

Middle

Last Name

WAGNER

Business Name

ZACH J WAGNER

Original Issue Date

06/29/2007

Effective Date

03/02/2009

Expiration Date

03/31/2010

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010