LLOYD DAVID WAGNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136834

License Status

ACTIVE

Business

Title

First Name

LLOYD

Middle

DAVID

Last Name

WAGNER

Business Name

LLOYD DAVID WAGNER MD

Original Issue Date

11/21/2014

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

SANTA MONICA

State

Zip

90402

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

06/15/2023