Frederic John Wagner
ActiveMichigan license 2901010266
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 2901010266
- Status
- Active
- First issued
- May 15, 1972
- Expires
- May 15, 2029
- License holder
- Frederic John Wagner
- Entity type
- Individual
Classifications
- Dentist (Dentistry) Dental