KRISTINE E WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223274

License Status

NOT RENEWED

Business

First Name

KRISTINE

Middle

Last Name

WAGNER

Prefix

Business Name

KRISTINE E WAGNER

Original Issue Date

02/06/2014

Effective Date

01/19/2021

Expiration Date

05/31/2022

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2022