CHRISTOPHER SCOTT WAGONER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125125

License Status

ACTIVE

Business

First Name

CHRISTOPHER

Middle

SCOTT

Last Name

WAGONER

Suffix

Business Name

CHRISTOPHER SCOTT WAGONER MD

Original Issue Date

03/08/2010

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

07/28/2023