BRICE ALAN WAGNER - Pharmacist License in Illinois | # 049262637

BRICE ALAN WAGNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262637

License Status

NOT RENEWED

Business

N

First Name

BRICE

Middle

ALAN

Last Name

WAGNER

Business Name

BRICE ALAN WAGNER

Original Issue Date

01/09/2019

Effective Date

01/09/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021