PARK W WAGERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038719

License Status

NOT RENEWED

Business

First Name

PARK W

Last Name

WAGERS

Suffix

Business Name

PARK W WAGERS MD

Original Issue Date

09/25/1963

Effective Date

09/25/1963

City

LOS ANGELES

State

Zip

90033

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006