TAYLOR WAGONER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049307817

License Status

NOT RENEWED

Business

First Name

TAYLOR

Last Name

WAGONER

Business Name

TAYLOR WAGONER

Original Issue Date

11/19/2023

Effective Date

11/19/2023

Expiration Date

03/31/2024

City

HUME

State

Zip

61932

County

EDGAR

Ever Disciplined

LastModifiedDate

01/03/2025