LISA M WAGNER
Pharmacy at Illinois St, Livonia, MI

License number
Florida 56603
Issued Date
Oct 21, 2014
Effective Date
Jan 4, 2017
Expiration Date
Dec 31, 2016
Category
Health Care
Type
Registered Pharmacy Technician
Address
Address
32936 Illinois St, Livonia, MI 48150
Phone
(734) 422-0345
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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