JEFFREY CHARLES WAGNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138343

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

CHARLES

Last Name

WAGNER

Business Name

JEFFREY CHARLES WAGNER MD

Original Issue Date

06/17/2015

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

DENVER

State

Zip

80209

County

COLORADO

Ever Disciplined

LastModifiedDate

04/14/2023