KURT A WAGNER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

ACTIVE

Business

First Name

KURT

Middle

Last Name

WAGNER

Suffix

DDS

Business Name

KURT A WAGNER DDS

Original Issue Date

08/02/1988

Effective Date

07/13/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2024