DEADRA LYN WAGNER DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038009468

License Status

NOT RENEWED

Business

First Name

DEADRA

Middle

LYN

Last Name

WAGNER

Suffix

Business Name

DEADRA LYN WAGNER DC

Original Issue Date

08/27/2001

Effective Date

08/01/2005

Expiration Date

07/31/2008

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008