Bruce T Wagner
ExpiredIllinois license 046006691
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 046006691
- Status
- Expired (Not Renewed)
- First issued
- August 14, 1974
- Expired
- January 1, 1997
- License holder
- Bruce T Wagner
- Entity type
- Individual
Classifications
- Licensed Optometrist (Optometry) Vision & Hearing
Contact
Rantoul, IL 61866
Champaign County