JEFFREY P WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186502

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

WAGNER

Business Name

JEFFREY P WAGNER

Original Issue Date

08/22/2008

Effective Date

08/22/2008

Expiration Date

03/31/2009

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/06/2009