KIMBERLY M WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199596

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

WAGNER

Prefix

Business Name

KIMBERLY M WAGNER

Original Issue Date

07/26/2010

Effective Date

07/26/2010

Expiration Date

03/31/2011

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

05/12/2011