JACOB LEVI WAGNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136549

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

LEVI

Last Name

WAGNER

Business Name

JACOB LEVI WAGNER MD

Original Issue Date

09/24/2014

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

DUBUQUE

State

Zip

52001

County

IOWA

Ever Disciplined

LastModifiedDate

04/12/2023