STEVEN LYLE WAGNER Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031829

License Status

ACTIVE

Business

First Name

STEVEN LYLE

Last Name

WAGNER

Business Name

STEVEN LYLE WAGNER

Original Issue Date

08/18/1977

Effective Date

03/13/2026

Expiration Date

03/31/2028

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/13/2026