Bennie L Wagner
InactiveIllinois license 049113230
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049113230
- Status
- Inactive
- First issued
- January 31, 1996
- Expired
- March 31, 2012
- License holder
- Bennie L Wagner
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/24/2011
Contact
Lake Forest, IL 60045
Lake County