OSVALDO E WAGENER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086015

License Status

ACTIVE

Business

First Name

OSVALDO

Middle

Last Name

WAGENER

Suffix

Business Name

OSVALDO E WAGENER MD

Original Issue Date

05/13/1993

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2023