THOMAS PAUL WAGNER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030286

License Status

INACTIVE

Business

First Name

THOMAS PAUL

Last Name

WAGNER

Business Name

THOMAS PAUL WAGNER

Original Issue Date

12/16/1974

Effective Date

02/24/2016

Expiration Date

03/31/2018

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

01/12/2018