LAUREN ELIZABETH WAGONER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225073

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

ELIZABETH

Last Name

WAGONER

Business Name

LAUREN ELIZABETH WAGONER

Original Issue Date

05/08/2014

Effective Date

05/08/2014

Expiration Date

03/31/2015

City

SHELBY TWP

State

Zip

48315

Ever Disciplined

LastModifiedDate

05/11/2015