JAMIE LEIGH WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183091

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

LEIGH

Last Name

WAGNER

Prefix

Business Name

JAMIE LEIGH WAGNER

Original Issue Date

03/26/2008

Effective Date

01/23/2012

Expiration Date

03/31/2013

City

WINCHENDON

State

Zip

01475

Ever Disciplined

LastModifiedDate

05/06/2013