SAMANTHA RAE WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221530

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

RAE

Last Name

WAGNER

Business Name

SAMANTHA RAE WAGNER

Original Issue Date

10/21/2013

Effective Date

02/14/2017

Expiration Date

03/31/2018

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

06/19/2018