ANDREW FREDERICK WAGNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141407

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

FREDERICK

Last Name

WAGNER

Business Name

ANDREW FREDERICK WAGNER MD

Original Issue Date

08/02/2016

Effective Date

07/23/2023

Expiration Date

07/31/2026

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

07/23/2023