CHARLES A WAGNER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032424

License Status

INACTIVE

Business

First Name

CHARLES A

Last Name

WAGNER

Business Name

CHARLES A WAGNER

Original Issue Date

09/13/1978

Effective Date

09/13/1978

Expiration Date

03/31/2004

City

KOUTS

State

Zip

46347

County

INDIANA

Ever Disciplined

LastModifiedDate

12/06/2005