JENNA LEE WAGENBACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207938

License Status

NOT RENEWED

Business

First Name

JENNA

Middle

LEE

Last Name

WAGENBACH

Business Name

JENNA LEE WAGENBACH

Original Issue Date

11/21/2011

Effective Date

02/25/2016

Expiration Date

03/31/2017

City

PRINCEVILLE

State

Zip

61559

County

PEORIA

Ever Disciplined

LastModifiedDate

05/10/2017