LAUREN E WAGNER MD SC Medical Corporation License verification

Business Entity

ACTIVE

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042617910

License Status

ACTIVE

Business

Business Name

LAUREN E WAGNER MD SC

Original Issue Date

03/19/2003

Effective Date

10/11/2024

Expiration Date

01/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/11/2024