DANA A WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209567

License Status

NOT RENEWED

Business

First Name

DANA

Middle

Last Name

WAGNER

Business Name

DANA A WAGNER

Original Issue Date

03/05/2012

Effective Date

03/05/2012

Expiration Date

03/31/2013

City

CHEBANSE

State

Zip

60922

County

IROQUOIS

Ever Disciplined

LastModifiedDate

06/27/2014