COURTNEY REGAN WAGNER MD - Medical Doctor License in Montana | # 33*****43

COURTNEY REGAN WAGNER MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

N

Title

MD

First Name

COURTNEY

Middle

REGAN

Last Name

WAGNER

Business Name

COURTNEY REGAN WAGNER MD

Original Issue Date

04/22/2011

Effective Date

06/23/2023

Expiration Date

07/31/2026

State

MT

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

06/23/2023