GRACIELA D WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198186

License Status

NOT RENEWED

Business

First Name

GRACIELA

Middle

Last Name

WAGNER

Prefix

Business Name

GRACIELA D WAGNER

Original Issue Date

05/04/2010

Effective Date

03/19/2024

Expiration Date

03/31/2025

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

07/08/2025