CATHY LYNN WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186843

License Status

NOT RENEWED

Business

First Name

CATHY

Middle

LYNN

Last Name

WAGNER

Business Name

CATHY LYNN WAGNER

Original Issue Date

09/05/2008

Effective Date

05/19/2014

Expiration Date

03/31/2015

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/11/2015