Donna J Wagnaar
ExpiredIllinois license 049093098
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049093098
- Status
- Expired (Not Renewed)
- First issued
- August 31, 1990
- Expired
- March 31, 2003
- License holder
- Donna J Wagnaar
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 08/31/1990
Contact
Mapleton, IL 61547
Peoria County