LEE A. WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262516

License Status

NOT RENEWED

Business

First Name

LEE

Middle

Last Name

WAGNER

Business Name

LEE A. WAGNER

Original Issue Date

01/02/2019

Effective Date

01/02/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021