STEPHANIE LYNN WAGNER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

LYNN

Last Name

WAGNER

Suffix

DDS

Business Name

STEPHANIE LYNN WAGNER DDS

Original Issue Date

09/02/2005

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024