JOHN K WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031828

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

WAGNER

Business Name

JOHN K WAGNER

Original Issue Date

08/18/1977

Effective Date

02/13/2020

Expiration Date

07/31/2022

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/14/2022

Case Number

1991003339

Action

Probation

Discipline Start Date

12/25/1991

Discipline End Date

07/02/1995

Discipline Reason

Diverted controlled substances for self-use from his pharmacy employer, LeRoy Pharmacy.