BARBARA ANN WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049249533

License Status

NOT RENEWED

Business

First Name

BARBARA

Middle

ANN

Last Name

WAGNER

Business Name

BARBARA ANN WAGNER

Original Issue Date

03/31/2017

Effective Date

03/31/2017

Expiration Date

03/31/2018

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/19/2018