DANA L WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216610

License Status

NOT RENEWED

Business

First Name

DANA

Middle

Last Name

WAGNER

Prefix

Business Name

DANA L WAGNER

Original Issue Date

03/18/2013

Effective Date

01/28/2014

Expiration Date

03/31/2015

City

MALDEN

State

Zip

61337

County

BUREAU

Ever Disciplined

LastModifiedDate

05/11/2015