DIRK WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208946

License Status

NOT RENEWED

Business

First Name

DIRK

Last Name

WAGNER

Business Name

DIRK WAGNER

Original Issue Date

01/27/2012

Effective Date

02/20/2013

Expiration Date

03/31/2014

City

BYRON

State

Zip

61010

County

OGLE

Ever Disciplined

LastModifiedDate

05/06/2014