JASON L WAGGONER Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289951

License Status

ACTIVE

Business

First Name

JASON

Middle

Last Name

WAGGONER

Business Name

JASON L WAGGONER

Original Issue Date

07/12/2004

Effective Date

03/19/2026

Expiration Date

03/31/2028

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

03/19/2026