Wayne Antenen
InactiveIllinois license 049057312
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049057312
- Status
- Inactive (Cancelled)
- First issued
- February 2, 1972
- Expired
- January 1, 1997
- License holder
- Wayne Antenen
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/02/1972
Other Illinois licenses under this name
-
IL
InactiveBandera, TXExpired Mar 31, 2018
Contact
St. Jacob, IL 62281
Madison County