AISHA WAGNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157972

License Status

NOT RENEWED

Business

Title

First Name

AISHA

Last Name

WAGNER

Business Name

AISHA WAGNER MD

Original Issue Date

08/07/2021

Effective Date

08/07/2021

Expiration Date

07/31/2023

City

SAN RAFAEL

State

Zip

94901

Ever Disciplined

LastModifiedDate

11/30/2023