WAYNE L WAGNER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014501

License Status

NOT RENEWED

Business

First Name

WAYNE L

Last Name

WAGNER

Suffix

DDS

Business Name

WAYNE L WAGNER DDS

Original Issue Date

12/12/1972

Effective Date

12/12/1972

Expiration Date

09/30/1994

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005