DAVID JAMES WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035067

License Status

NOT RENEWED

Business

First Name

DAVID JAMES

Last Name

WAGNER

Business Name

DAVID JAMES WAGNER

Original Issue Date

10/03/1983

Effective Date

10/03/1983

Expiration Date

03/31/1986

City

BROADVIEW

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005