ROBERT H WAGNER MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042007153

License Status

NOT RENEWED

Business

Business Name

ROBERT H WAGNER MD SC

Original Issue Date

03/11/1993

Effective Date

12/15/2010

Expiration Date

01/01/2012

City

BURR RIDGE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/22/2012