Alysa Michelle Wagner
ExpiredIllinois license 049137049
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049137049
- Status
- Expired (Not Renewed)
- First issued
- July 3, 2001
- Expired
- March 31, 2008
- License holder
- Alysa Michelle Wagner
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/09/2007
Contact
Collinsville, IL 62234
Madison County