MYRON WILLIAM WAGNER DDS - Dentist License in Illinois | # 019008409

MYRON WILLIAM WAGNER DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008409

License Status

INACTIVE

Business

N

First Name

MYRON WILLIAM

Last Name

WAGNER

Suffix

DDS

Business Name

MYRON WILLIAM WAGNER DDS

Original Issue Date

04/26/1943

Effective Date

04/26/1943

Expiration Date

09/30/1990

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005