ANDREW J WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049234848

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

WAGNER

Business Name

ANDREW J WAGNER

Original Issue Date

07/27/2015

Effective Date

07/27/2015

Expiration Date

03/31/2016

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

05/20/2016