CONNOR WILLIAM WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254152

License Status

NOT RENEWED

Business

First Name

CONNOR

Middle

WILLIAM

Last Name

WAGNER

Business Name

CONNOR WILLIAM WAGNER

Original Issue Date

11/06/2017

Effective Date

03/11/2019

Expiration Date

09/30/2020

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

01/08/2021