RONALD L WAGNER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031183

License Status

INACTIVE

Business

First Name

RONALD

Middle

Last Name

WAGNER

Business Name

RONALD L WAGNER

Original Issue Date

08/06/1976

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

PHILO

State

Zip

61864

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/18/2006