AUSTIN WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256433

License Status

NOT RENEWED

Business

First Name

AUSTIN

Last Name

WAGNER

Business Name

AUSTIN WAGNER

Original Issue Date

02/28/2018

Effective Date

01/14/2020

Expiration Date

03/31/2021

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

07/20/2021