DIEDRE ANN WAGERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130748

License Status

NOT RENEWED

Business

Title

First Name

DIEDRE

Middle

ANN

Last Name

WAGERS

Business Name

DIEDRE ANN WAGERS MD

Original Issue Date

07/05/2012

Effective Date

07/05/2012

Expiration Date

07/31/2014

City

PRINCEVILLE

State

Zip

61559

County

STARK

Ever Disciplined

LastModifiedDate

11/17/2014