ANDREW J WAGNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129731

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

Last Name

WAGNER

Business Name

ANDREW J WAGNER MD

Original Issue Date

03/06/2012

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

LOUISVILLE

State

Zip

80027

County

COLORADO

Ever Disciplined

LastModifiedDate

12/26/2023