DONALD WAYNE WAGNON JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

WAYNE

Last Name

WAGNON

Suffix

JR MD

Business Name

DONALD WAYNE WAGNON JR MD

Original Issue Date

08/31/1998

Effective Date

08/31/1998

Expiration Date

07/31/2002

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020