TAMI M WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207856

License Status

NOT RENEWED

Business

First Name

TAMI

Middle

Last Name

WAGNER

Prefix

Business Name

TAMI M WAGNER

Original Issue Date

11/16/2011

Effective Date

11/16/2011

Expiration Date

03/31/2012

City

MAKANDA

State

Zip

62958

County

JACKSON

Ever Disciplined

LastModifiedDate

05/07/2012