CHARLES A WAGNER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051024498

License Status

INACTIVE

Business

First Name

CHARLES A

Last Name

WAGNER

Business Name

CHARLES A WAGNER

Original Issue Date

01/01/1997

Effective Date

01/08/2010

Expiration Date

03/31/2012

City

PRINCETON

State

Zip

61356

County

BUREAU

Ever Disciplined

LastModifiedDate

01/12/2012