JENNIFER LYNN WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248499

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYNN

Last Name

WAGNER

Business Name

JENNIFER LYNN WAGNER

Original Issue Date

02/16/2017

Effective Date

08/13/2018

Expiration Date

03/31/2019

City

PEARL CITY

State

Zip

61062

County

STEPHENSON

Ever Disciplined

LastModifiedDate

07/15/2019