RICHARD J WAGNER MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042005534

License Status

NOT RENEWED

Business

Business Name

RICHARD J WAGNER MD SC

Original Issue Date

01/31/1984

Effective Date

01/31/1984

Expiration Date

01/01/1985

City

LINCOLNSHIRE

State

Zip

60015

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006