DANIELLE L WAGGONER Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289971

License Status

ACTIVE

Business

First Name

DANIELLE

Middle

Last Name

WAGGONER

Business Name

DANIELLE L WAGGONER

Original Issue Date

07/14/2004

Effective Date

03/24/2026

Expiration Date

03/31/2028

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

03/24/2026