ROBERT LARRY WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029831

License Status

NOT RENEWED

Business

First Name

ROBERT LARRY

Last Name

WAGNER

Business Name

ROBERT LARRY WAGNER

Original Issue Date

12/10/1973

Effective Date

12/10/1973

Expiration Date

01/01/1997

City

BUCYRUS

State

Zip

44820

County

OHIO

Ever Disciplined

LastModifiedDate

10/17/2005