The holder whose full name is Wagner, David A.,come from Clearwater FL,hold the Dentist license(NO.12007186A) which status is Inactive/Expired.
| Name | Wagner, David A. |
|---|---|
| License Number | 12007186A |
| License Type | Dentist |
| License Status | Inactive/Expired |
| City | Clearwater |
| State | FL |