Corey Todd Wagner
ActiveCalifornia license 27194
License
- Licensed by
- California State Board of Pharmacy
- License number
- 27194
- Status
- Active
- First issued
- August 8, 2023
- Expires
- August 1, 2027
- License holder
- Corey Todd Wagner
- Entity type
- Individual
Classifications
- Wls/mfg Designated Representative In Charge Pharmacy
More from the license record
- License type code
- EXC
- School
- Other/fg
- Year graduated
- 2023
- Degree
- Degree Not Applicable
Contact
2688 Meadowood Ct
Weston, FL 33332
Weston, FL 33332