License holder summary

ELIZABETH A WAGNER is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for ELIZABETH A WAGNER is Deptford NJ 08096. This licensed professional license is not current. The license was granted 07/11/2005 and expired on 03/31/2013.

Pennsylvania

Department of State

ELIZABETH A WAGNER
Dentistry - Anesthesia Permit - Restricted II
License number
DN000972
Date granted
07/11/2005
Date expires
03/31/2013
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Expired
Address
Deptford NJ 08096
palicensing.org
ID 16538071
LAST UPDATED 2024-03-15 06:29:58 UTC

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