License holder summary

LISA B WAGNER is a Dentistry - Dental Hygienist licensed to practice in Michigan. This medical licensee license is not current. The license was granted 02/02/1976 and expired on 08/31/1994.

Department of Licensing and Regulatory Affairs

Board of Medicine

LISA B WAGNER
Dentistry - Dental Hygienist
License number
2902003968
Date granted
02/02/1976
Date expires
08/31/1994
Class
Dentistry - Dental Hygienist
Status
Lapsed
Address
michiganmedical.net
ID 38893174
LAST UPDATED 2024-03-13 02:21:43 UTC

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