LUCAS ALEXANDER WAGONER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265385

License Status

NOT RENEWED

Business

First Name

LUCAS

Middle

ALEXANDER

Last Name

WAGONER

Business Name

LUCAS ALEXANDER WAGONER

Original Issue Date

05/17/2019

Effective Date

05/17/2019

Expiration Date

09/30/2020

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

01/08/2021