HILLARY JEAN WAGNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157353

License Status

ACTIVE

Business

Title

First Name

HILLARY

Middle

JEAN

Last Name

WAGNER

Business Name

HILLARY JEAN WAGNER MD

Original Issue Date

06/11/2021

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

12/06/2024