ASHLEY NICOLE WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049302904

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

NICOLE

Last Name

WAGNER

Business Name

ASHLEY NICOLE WAGNER

Original Issue Date

06/02/2023

Effective Date

06/02/2023

Expiration Date

03/31/2024

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

01/03/2025