JON ANTHONY WAGNON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120316

License Status

ACTIVE

Business

Title

First Name

JON

Middle

ANTHONY

Last Name

WAGNON

Business Name

JON ANTHONY WAGNON DO

Original Issue Date

03/12/2008

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

07/07/2023