ELLIOTT JAY WAGNER MD - Medical Doctor License in New York | # 036120986

ELLIOTT JAY WAGNER MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120986

License Status

ACTIVE

Business

N

First Name

ELLIOTT

Middle

JAY

Last Name

WAGNER

Suffix

MD

Business Name

ELLIOTT JAY WAGNER MD

Original Issue Date

05/22/2008

Effective Date

04/23/2023

Expiration Date

07/31/2026

State

NY

Ever Disciplined

N

LastModifiedDate

09/29/2023