CHRISTOPHER DALE WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181274

License Status

NOT RENEWED

Business

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

City

EUREKA

State

Zip

61530

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/06/2009