ZACHRY A WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210566

License Status

NOT RENEWED

Business

First Name

ZACHRY

Middle

Last Name

WAGNER

Prefix

Business Name

ZACHRY A WAGNER

Original Issue Date

04/24/2012

Effective Date

03/28/2013

Expiration Date

03/31/2014

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

05/06/2014