CHARLES GILBERT WAGNER MD - Medical Doctor License in Delaware | # 036054758

CHARLES GILBERT WAGNER MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054758

License Status

NOT RENEWED

Business

N

First Name

CHARLES GILBERT

Last Name

WAGNER

Suffix

MD

Business Name

CHARLES GILBERT WAGNER MD

Original Issue Date

06/22/1977

Effective Date

06/22/1977

State

DE

Ever Disciplined

N

LastModifiedDate

04/20/2011