DUANE EDWARD WAGNER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038007766

License Status

NOT RENEWED

Business

First Name

DUANE

Middle

EDWARD

Last Name

WAGNER

Business Name

DUANE EDWARD WAGNER

Original Issue Date

07/29/1995

Effective Date

07/29/1995

Expiration Date

07/31/1996

City

ST. JOHN

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

09/21/2006