COURTNEY LYN WAGENBACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190825

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

LYN

Last Name

WAGENBACH

Business Name

COURTNEY LYN WAGENBACH

Original Issue Date

04/07/2009

Effective Date

02/11/2010

Expiration Date

03/31/2011

City

TREMONT

State

Zip

61568

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/12/2011