Marcie Wagner-Tidaback
ExpiredIllinois license 020008425
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020008425
- Status
- Expired (Not Renewed)
- First issued
- January 24, 1995
- Expired
- September 30, 2002
- License holder
- Marcie Wagner-Tidaback
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 01/24/1995
Contact
Tucson, AZ 85750