SCOTT R WAGNER - Pharmacist License in Illinois | # 049232985

SCOTT R WAGNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049232985

License Status

NOT RENEWED

Business

N

First Name

SCOTT

Middle

R

Last Name

WAGNER

Business Name

SCOTT R WAGNER

Original Issue Date

05/11/2015

Effective Date

05/11/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016