SCOTT W WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190438

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

WAGNER

Prefix

Business Name

SCOTT W WAGNER

Original Issue Date

03/24/2009

Effective Date

04/01/2016

Expiration Date

03/31/2017

City

CREST HILL

State

Zip

60403

County

WILL

Ever Disciplined

LastModifiedDate

05/10/2017