CHRISTINA R WAGNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107740

License Status

ACTIVE

Business

First Name

CHRISTINA

Middle

Last Name

WAGNER

Suffix

Business Name

CHRISTINA R WAGNER MD

Original Issue Date

08/26/2002

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

HEROD

State

Zip

62947

County

POPE

Ever Disciplined

LastModifiedDate

08/01/2023