ALPHONSO GEORGE WAGNER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019003385

License Status

NOT RENEWED

Business

First Name

ALPHONSO GEORGE

Last Name

WAGNER

Business Name

ALPHONSO GEORGE WAGNER

Original Issue Date

10/31/1921

Effective Date

10/31/1921

City

MADEIRA BEACH

State

Zip

33708

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/12/2005