MARLEY J WAGNER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014607

License Status

ACTIVE

Business

First Name

MARLEY

Middle

Last Name

WAGNER

Business Name

MARLEY J WAGNER

Original Issue Date

02/19/2014

Effective Date

08/09/2024

Expiration Date

09/30/2027

City

SAINT LOUIS

State

Zip

63118

Ever Disciplined

LastModifiedDate

07/07/2024