KACI MICHELLE WAGNER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014239

License Status

ACTIVE

Business

First Name

KACI

Middle

MICHELLE

Last Name

WAGNER

Business Name

KACI MICHELLE WAGNER

Original Issue Date

02/26/2013

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

CASEYVILLE

State

Zip

62232

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/30/2024