ROBERT H WAGNER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017584

License Status

EXPIRED

Business

First Name

ROBERT H

Last Name

WAGNER

Suffix

Business Name

ROBERT H WAGNER MD

Original Issue Date

07/25/1984

Effective Date

07/25/1984

Expiration Date

06/25/1986

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006