MIRANDA WAGNER Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049299993

License Status

ACTIVE

Business

First Name

MIRANDA

Last Name

WAGNER

Business Name

MIRANDA WAGNER

Original Issue Date

02/16/2023

Effective Date

03/05/2026

Expiration Date

03/31/2027

City

MANITOWOC

State

Zip

54220

Ever Disciplined

LastModifiedDate

03/05/2026