LUCAS ALEXANDER WAGONER - Pharmacist License in Illinois | # 049265385

LUCAS ALEXANDER WAGONER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265385

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021