FRANKLIN C WAGNER JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041056

License Status

NOT RENEWED

Business

First Name

FRANKLIN

Middle

Last Name

WAGNER

Suffix

JR MD

Business Name

FRANKLIN C WAGNER JR MD

Original Issue Date

05/25/1967

Effective Date

05/25/1967

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006