MICHAEL L WAGNER - Pharmacist License in Illinois | # 051032011

MICHAEL L WAGNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032011

License Status

NOT RENEWED

Business

N

First Name

MICHAEL L

Last Name

WAGNER

Business Name

MICHAEL L WAGNER

Original Issue Date

03/09/1978

Effective Date

03/09/1978

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005