DEANNE M WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239348

License Status

NOT RENEWED

Business

First Name

DEANNE

Middle

Last Name

WAGNER

Prefix

Business Name

DEANNE M WAGNER

Original Issue Date

02/03/2016

Effective Date

02/03/2016

Expiration Date

03/31/2017

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/10/2017