JANICE KATHLEEN WAGGONER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013828

License Status

NOT RENEWED

Business

First Name

JANICE

Middle

KATHLEEN

Last Name

WAGGONER

Business Name

JANICE KATHLEEN WAGGONER

Original Issue Date

12/05/2011

Effective Date

08/31/2015

Expiration Date

09/30/2018

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

10/31/2018