ELIZABETH M WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195191

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

WAGNER

Prefix

Business Name

ELIZABETH M WAGNER

Original Issue Date

11/06/2009

Effective Date

11/06/2009

Expiration Date

03/31/2010

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/17/2020