MICHAEL PAUL WAGNER DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038010967

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

PAUL

Last Name

WAGNER

Suffix

Business Name

MICHAEL PAUL WAGNER DC

Original Issue Date

06/07/2007

Effective Date

07/24/2008

Expiration Date

07/31/2011

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/10/2011