DANA L WAGNER - Pharmacist License in Illinois | # 049216610

DANA L WAGNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216610

License Status

NOT RENEWED

Business

N

First Name

DANA

Middle

L

Last Name

WAGNER

Prefix

MR

Business Name

DANA L WAGNER

Original Issue Date

03/18/2013

Effective Date

01/28/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015