GARY RICHARD WAGNER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030617

License Status

INACTIVE

Business

First Name

GARY RICHARD

Last Name

WAGNER

Business Name

GARY RICHARD WAGNER

Original Issue Date

07/25/1975

Effective Date

04/03/2022

Expiration Date

03/31/2024

City

ALEDO

State

Zip

61231

County

MERCER

Ever Disciplined

LastModifiedDate

02/07/2024