DANIELLE NICOLE WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172941

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

NICOLE

Last Name

WAGNER

Business Name

DANIELLE NICOLE WAGNER

Original Issue Date

12/04/2006

Effective Date

12/04/2006

Expiration Date

03/31/2007

City

INDIANAPOLIS

State

Zip

46203

County

INDIANA

Ever Disciplined

LastModifiedDate

05/14/2007