NILS WAGNER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038850

License Status

EXPIRED

Business

First Name

NILS

Last Name

WAGNER

Suffix

Business Name

NILS WAGNER MD

Original Issue Date

09/01/1998

Effective Date

09/01/1998

Expiration Date

08/31/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006