License holder summary

RUSSELL WILLIAM WAGNER is a Pharmacist, Pharmacies - Cs 2 licensed to practice in Michigan. The address on file for RUSSELL WILLIAM WAGNER is Benzonia, MI 49616. This licensed professional license is not current. The license was granted 01/23/2001 and expired on 12/31/2014.

Michigan

Department of Licensing and Regulation

RUSSELL WILLIAM WAGNER
Pharmacist, Pharmacies - Cs 2
License number
6901002537
Date granted
01/23/2001
Date expires
12/31/2014
Class
Pharmacist, Pharmacies - Cs 2
Status
Lapsed
Address
Benzonia, MI 49616
michiganlicensing.org
ID 25950376
LAST UPDATED 2024-04-13 14:07:37 UTC

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