RICHARD H WAGNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085205

License Status

NOT RENEWED

Business

First Name

RICHARD H

Last Name

WAGNER

Suffix

Business Name

RICHARD H WAGNER MD

Original Issue Date

08/20/1992

Effective Date

07/28/2020

Expiration Date

07/31/2023

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

11/30/2023