CAMERON J WAGNER DMD - Dentist License in Illinois | # 021002323

CAMERON J WAGNER DMD

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002323

License Status

INACTIVE

Business

N

Title

DMD

First Name

CAMERON

Middle

J

Last Name

WAGNER

Business Name

CAMERON J WAGNER DMD

Original Issue Date

07/31/2009

Effective Date

07/05/2012

Expiration Date

09/30/2015

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018