JAMES D WAGNER II MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

JAMES D

Last Name

WAGNER II

Suffix

Business Name

JAMES D WAGNER II MD

Original Issue Date

05/05/1989

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

VANDALIA

State

Zip

62471

County

FAYETTE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017