JULIE MELBINGER-WAGNER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

JULIE

Last Name

MELBINGER-WAGNER

Suffix

DDS

Business Name

JULIE MELBINGER-WAGNER DDS

Original Issue Date

06/22/2004

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

OAK PARK

State

Zip

60301

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009