DAVID F WAGNER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020929

License Status

NOT RENEWED

Business

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

City

CRETE

State

Zip

60417

County

WILL

Ever Disciplined

LastModifiedDate

10/12/2005