MIRANDA C WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049234814

License Status

NOT RENEWED

Business

First Name

MIRANDA

Middle

Last Name

WAGNER

Business Name

MIRANDA C WAGNER

Original Issue Date

07/27/2015

Effective Date

07/27/2015

Expiration Date

03/31/2016

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/20/2016