POLLY A WAGGONER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051039212

License Status

NOT RENEWED

Business

First Name

POLLY A

Last Name

WAGGONER

Business Name

POLLY A WAGGONER

Original Issue Date

04/12/1993

Effective Date

04/12/1993

Expiration Date

03/31/1996

City

LEBANON

State

Zip

46052

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005