KAREN S WAGENHALS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068253

License Status

NOT RENEWED

Business

First Name

KAREN S

Last Name

WAGENHALS

Suffix

Business Name

KAREN S WAGENHALS MD

Original Issue Date

02/21/1984

Effective Date

02/21/1984

Expiration Date

07/31/2002

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006