CHRISTOPHER MICHAEL WAGNER MD - Medical Doctor License in Illinois | # 036157666

CHRISTOPHER MICHAEL WAGNER MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157666

License Status

ACTIVE

Business

N

Title

MD

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/26/2023