LYLE N WAGNER - Pharmacist License in Illinois | # 051026625

LYLE N WAGNER

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026625

License Status

INACTIVE

Business

N

First Name

LYLE N

Last Name

WAGNER

Business Name

LYLE N WAGNER

Original Issue Date

01/01/1997

Effective Date

01/17/2012

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

01/09/2014