CHARLOTTE BOWEN WAGAMON MD - Medical Doctor License in Pennsylvania | # 036117288

CHARLOTTE BOWEN WAGAMON MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117288

License Status

INACTIVE

Business

N

Title

MD

First Name

CHARLOTTE

Middle

BOWEN

Last Name

WAGAMON

Business Name

CHARLOTTE BOWEN WAGAMON MD

Original Issue Date

12/12/2006

Effective Date

07/11/2011

Expiration Date

07/31/2014

State

PA

Ever Disciplined

N

LastModifiedDate

04/08/2014