MONICA S WAGNER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034897

License Status

EXPIRED

Business

First Name

MONICA

Middle

Last Name

WAGNER

Business Name

MONICA S WAGNER

Original Issue Date

06/06/1996

Effective Date

06/06/1996

Expiration Date

06/30/1999

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006