CHRISTOPHER DALE WAGNER - Pharmacist License in Illinois | # 049181274

CHRISTOPHER DALE WAGNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181274

License Status

NOT RENEWED

Business

N

First Name

CHRISTOPHER

Middle

DALE

Last Name

WAGNER

Business Name

CHRISTOPHER DALE WAGNER

Original Issue Date

12/26/2007

Effective Date

12/26/2007

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009