MATTHEW J WAGNER Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289635

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

Last Name

WAGNER

Business Name

MATTHEW J WAGNER

Original Issue Date

09/10/2003

Effective Date

02/22/2026

Expiration Date

03/31/2028

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

02/22/2026