CHARLES FREDERIC WAGNER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033598

License Status

INACTIVE

Business

First Name

CHARLES FREDERIC

Last Name

WAGNER

Suffix

Business Name

CHARLES FREDERIC WAGNER MD

Original Issue Date

08/30/1955

Effective Date

08/30/1955

Expiration Date

07/31/1990

City

GRAND JUNCTION

State

Zip

81506

County

COLORADO

Ever Disciplined

LastModifiedDate

09/20/2006