CAMERON J WAGNER DMD - Dentist License in Illinois | # 019027029

CAMERON J WAGNER DMD

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027029

License Status

INACTIVE

Business

N

Title

DMD

First Name

CAMERON

Middle

J

Last Name

WAGNER

Business Name

CAMERON J WAGNER DMD

Original Issue Date

06/12/2006

Effective Date

07/05/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

06/08/2015