CHRISTOPHER MICHAEL WAGNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

Title

First Name

CHRISTOPHER

Middle

MICHAEL

Last Name

WAGNER

Business Name

CHRISTOPHER MICHAEL WAGNER MD

Original Issue Date

09/16/2021

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/27/2023