BRENDA WAGNER OPDYKE - Dentist License in Illinois | # 020008788

BRENDA WAGNER OPDYKE

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008788

License Status

INACTIVE

Business

N

First Name

BRENDA WAGNER

Last Name

OPDYKE

Business Name

BRENDA WAGNER OPDYKE

Original Issue Date

07/23/1996

Effective Date

12/11/2021

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

10/28/2024