JEAN ELIZABETH WAGNER - Dentist License in Wisconsin | # 020002379

JEAN ELIZABETH WAGNER

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002379

License Status

NOT RENEWED

Business

N

First Name

JEAN ELIZABETH

Last Name

WAGNER

Business Name

JEAN ELIZABETH WAGNER

Original Issue Date

07/03/1974

Effective Date

07/03/1974

Expiration Date

04/01/1982

State

WI

Ever Disciplined

N

LastModifiedDate

10/12/2005