ANDREA WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202913

License Status

NOT RENEWED

Business

First Name

ANDREA

Last Name

WAGNER

Business Name

ANDREA WAGNER

Original Issue Date

02/25/2011

Effective Date

03/04/2013

Expiration Date

03/31/2014

City

LAKE STATION

State

Zip

46405

County

INDIANA

Ever Disciplined

LastModifiedDate

05/06/2014