STACEY LEE WAGNER Funeral Director and Embalmer License verification

Business Entity

CANCELLED

License Type

Funeral Director and Embalmer

Description

LICENSED FUNERAL DIRECTOR AND EMBALMER INTERN

License Number

033012156

License Status

CANCELLED

Business

First Name

STACEY

Middle

LEE

Last Name

WAGNER

Business Name

STACEY LEE WAGNER

Original Issue Date

12/05/2007

Effective Date

12/05/2007

Expiration Date

05/31/2009

City

SAINT PETERSBURG

State

Zip

33701

Ever Disciplined

LastModifiedDate

10/22/2007