MICHAEL T WAGNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100589

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

WAGNER

Suffix

Business Name

MICHAEL T WAGNER MD

Original Issue Date

07/09/1999

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/17/2025