JOHN R WAGNER MD - Medical Doctor License in Missouri | # 036086785

JOHN R WAGNER MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086785

License Status

INACTIVE

Business

N

First Name

JOHN R

Last Name

WAGNER

Suffix

MD

Business Name

JOHN R WAGNER MD

Original Issue Date

07/14/1993

Effective Date

07/14/1993

Expiration Date

07/31/1996

State

MO

Ever Disciplined

N

LastModifiedDate

09/20/2006