Nathan K Wagner
ExpiredIllinois license 049089549
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049089549
- Status
- Expired (Not Renewed)
- First issued
- April 11, 1989
- Expired
- March 31, 1990
- License holder
- Nathan K Wagner
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/11/1989
Contact
Peoria Heights, IL 61614
Peoria County