SHARON S WAGNER DVM Veterinarian License verification

Business Entity

INACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****16

License Status

INACTIVE

Business

First Name

SHARON

Middle

Last Name

WAGNER

Suffix

DVM

Business Name

SHARON S WAGNER DVM

Original Issue Date

02/13/2001

Effective Date

12/17/2018

Expiration Date

01/31/2021

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2020