DONNA ANN WAGNER - Dentist License in Illinois | # 020002399

DONNA ANN WAGNER

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002399

License Status

NOT RENEWED

Business

N

First Name

DONNA ANN

Last Name

WAGNER

Business Name

DONNA ANN WAGNER

Original Issue Date

07/03/1974

Effective Date

09/29/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018