ANDREA MICHELLE WAGNER Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051302021

License Status

ACTIVE

Business

First Name

ANDREA

Middle

MICHELLE

Last Name

WAGNER

Business Name

ANDREA MICHELLE WAGNER

Original Issue Date

04/11/2019

Effective Date

03/14/2024

Expiration Date

03/31/2026

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

01/30/2026