AMANDA L WAGNER DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN

License Number

090009146

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

WAGNER

Suffix

DVM

Business Name

AMANDA L WAGNER DVM

Original Issue Date

08/23/2004

Effective Date

02/01/2007

Expiration Date

01/31/2009

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/17/2009