MARIALICE WAGNER - Dentist License in Illinois | # 020002595

MARIALICE WAGNER

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002595

License Status

ACTIVE

Business

N

First Name

MARIALICE

Last Name

WAGNER

Business Name

MARIALICE WAGNER

Original Issue Date

07/10/1975

Effective Date

06/19/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

06/19/2024