JOHN A WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049229289

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

WAGNER

Business Name

JOHN A WAGNER

Original Issue Date

11/15/2014

Effective Date

03/26/2015

Expiration Date

03/31/2016

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/20/2016