DENNIS R WAGNER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027406

License Status

ACTIVE

Business

First Name

DENNIS

Middle

Last Name

WAGNER

Suffix

DMD

Business Name

DENNIS R WAGNER DMD

Original Issue Date

06/12/2007

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

05/06/2024