OSVALDO E WAGENER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

First Name

OSVALDO

Middle

Last Name

WAGENER

Suffix

Business Name

OSVALDO E WAGENER MD

Original Issue Date

03/17/1998

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2023