OSVALDO E WAGENER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025975

License Status

EXPIRED

Business

First Name

OSVALDO

Middle

Last Name

WAGENER

Suffix

Business Name

OSVALDO E WAGENER MD

Original Issue Date

07/31/1990

Effective Date

07/31/1990

Expiration Date

07/24/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006