Jean Elizabeth Wagner
ExpiredIllinois license 020002379
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020002379
- Status
- Expired (Not Renewed)
- First issued
- July 3, 1974
- Expired
- April 1, 1982
- License holder
- Jean Elizabeth Wagner
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 07/03/1974
Contact
Middleton, WI 53562
Wisconsin County