DALE RICHARD WAGENER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033931

License Status

NOT RENEWED

Business

First Name

DALE RICHARD

Last Name

WAGENER

Business Name

DALE RICHARD WAGENER

Original Issue Date

07/30/1981

Effective Date

02/14/2020

Expiration Date

07/31/2022

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

10/14/2022