LISA KAY WAGNER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005758

License Status

NOT RENEWED

Business

First Name

LISA KAY

Last Name

WAGNER

Business Name

LISA KAY WAGNER

Original Issue Date

03/27/1985

Effective Date

03/27/1985

Expiration Date

09/30/1988

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/12/2005