RITA WAGNER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004791

License Status

ACTIVE

Business

First Name

RITA

Last Name

WAGNER

Business Name

RITA WAGNER

Original Issue Date

02/09/1982

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

08/27/2024