KURT J WAGNER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068090

License Status

INACTIVE

Business

First Name

KURT J

Last Name

WAGNER

Suffix

Business Name

KURT J WAGNER MD

Original Issue Date

12/20/1983

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

WAKEFIELD

State

Zip

01880

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

04/05/2020