CHRISTOPHER MICHAEL WAGNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157666

License Status

ACTIVE

Business

Title

First Name

CHRISTOPHER

Middle

MICHAEL

Last Name

WAGNER

Business Name

CHRISTOPHER MICHAEL WAGNER MD

Original Issue Date

07/12/2021

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

Ever Disciplined

LastModifiedDate

05/26/2023