KRISTA MARIE WAGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

Title

First Name

KRISTA

Middle

MARIE

Last Name

WAGER

Business Name

KRISTA MARIE WAGER MD

Original Issue Date

04/10/2020

Effective Date

04/10/2020

Expiration Date

07/31/2023

City

NORTHBROOK

State

Zip

60062

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023