CHRISTOPHER R WANGARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

CHRISTOPHER

Middle

Last Name

WANGARD

Suffix

Business Name

CHRISTOPHER R WANGARD MD

Original Issue Date

04/28/2000

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023