RYAN M WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212514

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

WAGNER

Business Name

RYAN M WAGNER

Original Issue Date

07/30/2012

Effective Date

03/14/2014

Expiration Date

03/31/2015

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015