MIRANDA C WAGNER - Pharmacist License in Illinois | # 049234814

MIRANDA C WAGNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049234814

License Status

NOT RENEWED

Business

N

First Name

MIRANDA

Middle

C

Last Name

WAGNER

Business Name

MIRANDA C WAGNER

Original Issue Date

07/27/2015

Effective Date

07/27/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016