JAMIE LYN WAGNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148136

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

LYN

Last Name

WAGNER

Business Name

JAMIE LYN WAGNER

Original Issue Date

04/17/2003

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

MCFARLAND

State

Zip

53558

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/14/2007