STEPHANIE LYNN WAGNER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026616

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

LYNN

Last Name

WAGNER

Suffix

DDS

Business Name

STEPHANIE LYNN WAGNER DDS

Original Issue Date

10/28/2004

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/03/2024