RONALD G WAGNER JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089738

License Status

NOT RENEWED

Business

First Name

RONALD G

Last Name

WAGNER JR

Suffix

Business Name

RONALD G WAGNER JR MD

Original Issue Date

10/01/1994

Effective Date

10/01/1994

Expiration Date

07/31/1999

City

ANN ARBOR

State

Zip

48103

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/21/2006