ROBERT H WAGNER - Dentist License in Wisconsin | # 019019884

ROBERT H WAGNER

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019884

License Status

NOT RENEWED

Business

N

First Name

ROBERT H

Last Name

WAGNER

Business Name

ROBERT H WAGNER

Original Issue Date

10/09/1985

Effective Date

06/21/2012

Expiration Date

09/30/2015

State

WI

Ever Disciplined

N

LastModifiedDate

02/08/2016