KURT A WAGNER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001491

License Status

ACTIVE

Business

First Name

KURT

Middle

Last Name

WAGNER

Suffix

DDS

Business Name

KURT A WAGNER DDS

Original Issue Date

09/21/1990

Effective Date

07/13/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/13/2024