Ann Earlene Wagner
InactiveIllinois license 049054443
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049054443
- Status
- Inactive (Cancelled)
- First issued
- January 1, 1997
- Expired
- January 1, 1997
- License holder
- Ann Earlene Wagner
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
Contact
Sullivan, IL 61951
Moultrie County