VERONICA NICOLE WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049279240

License Status

NOT RENEWED

Business

First Name

VERONICA

Middle

NICOLE

Last Name

WAGNER

Business Name

VERONICA NICOLE WAGNER

Original Issue Date

02/05/2021

Effective Date

02/05/2021

Expiration Date

05/31/2022

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/27/2022