MELISSA KATHRYN WAGNER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012289

License Status

ACTIVE

Business

First Name

MELISSA

Middle

KATHRYN

Last Name

WAGNER

Business Name

MELISSA KATHRYN WAGNER

Original Issue Date

09/12/2007

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2024