CHARLES GILBERT WAGNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054758

License Status

NOT RENEWED

Business

First Name

CHARLES GILBERT

Last Name

WAGNER

Suffix

Business Name

CHARLES GILBERT WAGNER MD

Original Issue Date

06/22/1977

Effective Date

06/22/1977

City

MILFORD

State

Zip

19963

County

DELAWARE

Ever Disciplined

LastModifiedDate

04/20/2011