ROBERT H WAGNER MD SC - Medical Corporation License in Illinois | # 042007153

ROBERT H WAGNER MD SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042007153

License Status

NOT RENEWED

Business

Y

Business Name

ROBERT H WAGNER MD SC

Original Issue Date

03/11/1993

Effective Date

12/15/2010

Expiration Date

01/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

03/22/2012