MATHIAS ALOYSIUS WAGNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036019449

License Status

NOT RENEWED

Business

First Name

MATHIAS ALOYSIUS

Last Name

WAGNER

Suffix

Business Name

MATHIAS ALOYSIUS WAGNER MD

Original Issue Date

08/19/1932

Effective Date

08/19/1932

City

POMPANO BEACH

State

Zip

33062

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006