ERIN P WAGENBACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242290

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

Last Name

WAGENBACH

Business Name

ERIN P WAGENBACH

Original Issue Date

06/07/2016

Effective Date

05/03/2019

Expiration Date

09/30/2020

City

SPARLAND

State

Zip

61565

County

MARSHALL

Ever Disciplined

LastModifiedDate

01/08/2021