Marisa R Wagner
ExpiredIllinois license 020015957
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020015957
- Status
- Expired (Not Renewed)
- First issued
- August 14, 2017
- Expired
- September 30, 2024
- License holder
- Marisa R Wagner
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 10/25/2021
Contact
Milwaukee, WI 53219