CHAD LOUIS WAGSTAFF DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025276

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

LOUIS

Last Name

WAGSTAFF

Suffix

DDS

Business Name

CHAD LOUIS WAGSTAFF DDS

Original Issue Date

06/12/2000

Effective Date

08/09/2012

Expiration Date

09/30/2015

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016