WILLIAM C WAGNER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020545

License Status

NOT RENEWED

Business

First Name

WILLIAM C

Last Name

WAGNER

Business Name

WILLIAM C WAGNER

Original Issue Date

06/11/1987

Effective Date

12/28/2021

Expiration Date

09/30/2024

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/04/2025