JOHN DAVID WAGGONER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031827

License Status

NOT RENEWED

Business

First Name

JOHN DAVID

Last Name

WAGGONER

Business Name

JOHN DAVID WAGGONER

Original Issue Date

08/18/1977

Effective Date

02/26/2018

Expiration Date

09/30/2020

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021