RUSSEL TERRENCE WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049294984

License Status

NOT RENEWED

Business

First Name

RUSSEL

Middle

TERRENCE

Last Name

WAGNER

Business Name

RUSSEL TERRENCE WAGNER

Original Issue Date

08/12/2022

Effective Date

02/12/2024

Expiration Date

03/31/2025

City

PALATINE

State

Zip

60074

County

COOK

Ever Disciplined

LastModifiedDate

07/08/2025