SCOTT R WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049232985

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

WAGNER

Business Name

SCOTT R WAGNER

Original Issue Date

05/11/2015

Effective Date

05/11/2015

Expiration Date

03/31/2016

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016