AMY JO WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206802

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

WAGNER

Prefix

Business Name

AMY JO WAGNER

Original Issue Date

09/20/2011

Effective Date

02/13/2013

Expiration Date

03/31/2014

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

05/06/2014