ROBERT H WAGNER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019884

License Status

NOT RENEWED

Business

First Name

ROBERT H

Last Name

WAGNER

Business Name

ROBERT H WAGNER

Original Issue Date

10/09/1985

Effective Date

06/21/2012

Expiration Date

09/30/2015

City

GREEN BAY

State

Zip

54311

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2016