Lucas Alexander Wagoner
ExpiredIllinois license 049265385
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049265385
- Status
- Expired (Not Renewed)
- First issued
- May 17, 2019
- Expired
- September 30, 2020
- License holder
- Lucas Alexander Wagoner
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 05/17/2019
Contact
Sycamore, IL 60178
Dekalb County