KURT J WAGNER MD - Medical Doctor License in Massachusetts | # 036068090

KURT J WAGNER MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068090

License Status

INACTIVE

Business

N

First Name

KURT J

Last Name

WAGNER

Suffix

MD

Business Name

KURT J WAGNER MD

Original Issue Date

12/20/1983

Effective Date

07/24/2017

Expiration Date

09/30/2020

State

MA

Ever Disciplined

N

LastModifiedDate

04/05/2020