DEANNE M WAGNER - Pharmacist License in Illinois | # 049239348

DEANNE M WAGNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239348

License Status

NOT RENEWED

Business

N

First Name

DEANNE

Middle

M

Last Name

WAGNER

Prefix

MR

Business Name

DEANNE M WAGNER

Original Issue Date

02/03/2016

Effective Date

02/03/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017