MICHEL R P WAGNER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030635

License Status

EXPIRED

Business

First Name

MICHEL R

Middle

Last Name

WAGNER

Business Name

MICHEL R P WAGNER

Original Issue Date

07/12/1993

Effective Date

07/12/1993

Expiration Date

07/11/1996

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

12/27/2006