MONICA S WAGNER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100057

License Status

NOT RENEWED

Business

First Name

MONICA

Middle

Last Name

WAGNER

Business Name

MONICA S WAGNER

Original Issue Date

04/21/1999

Effective Date

04/21/1999

Expiration Date

07/31/2002

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006