DAVID F WAGNER - Dentist License in Illinois | # 019020929

DAVID F WAGNER

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020929

License Status

NOT RENEWED

Business

N

First Name

DAVID F

Last Name

WAGNER

Business Name

DAVID F WAGNER

Original Issue Date

10/27/1987

Effective Date

10/27/1987

Expiration Date

09/30/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005