DAVID C WAGGONER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

DAVID C

Last Name

WAGGONER

Suffix

Business Name

DAVID C WAGGONER MD

Original Issue Date

11/10/1993

Effective Date

11/10/1993

Expiration Date

07/31/1996

City

METROPOLIS

State

Zip

62960

County

MASSAC

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006