NATALIE ELIZABETH WAGENAAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049285934

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

ELIZABETH

Last Name

WAGENAAR

Business Name

NATALIE ELIZABETH WAGENAAR

Original Issue Date

10/01/2021

Effective Date

10/01/2021

Expiration Date

05/31/2022

City

SPRING GROVE

State

Zip

60081

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/27/2022