JESSICA SUSANNE WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257516

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

SUSANNE

Last Name

WAGNER

Business Name

JESSICA SUSANNE WAGNER

Original Issue Date

04/17/2018

Effective Date

02/03/2024

Expiration Date

03/31/2025

City

CHAMPAIGN

State

Zip

61820

Ever Disciplined

LastModifiedDate

07/08/2025