LAUREN E WAGNER Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100517

License Status

ACTIVE

Business

First Name

LAUREN

Middle

Last Name

WAGNER

Business Name

LAUREN E WAGNER

Original Issue Date

07/02/1999

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/10/2023