DONNA ANN WAGNER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002399

License Status

NOT RENEWED

Business

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

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

10/31/2018