Sean Phillip Wagner
ExpiredIllinois license 049140784
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049140784
- Status
- Expired (Not Renewed)
- First issued
- February 20, 2002
- Expired
- March 31, 2007
- License holder
- Sean Phillip Wagner
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/19/2006
Contact
Belleville, IL 62221
Saint Clair County