WILLIAM DUKE WAGNER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

NOT RENEWED

Business

First Name

WILLIAM DUKE

Last Name

WAGNER

Suffix

DDS

Business Name

WILLIAM DUKE WAGNER DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

HENRY

State

Zip

61537

County

MARSHALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005