JEAN VOGEL WAGNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

First Name

JEAN

Middle

VOGEL

Last Name

WAGNER

Suffix

Business Name

JEAN VOGEL WAGNER MD

Original Issue Date

03/07/2002

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

CASEYVILLE

State

Zip

62232

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023