JOHN RICHARD WAGNER JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100561

License Status

INACTIVE

Business

First Name

JOHN

Middle

RICHARD

Last Name

WAGNER

Suffix

JR MD

Business Name

JOHN RICHARD WAGNER JR MD

Original Issue Date

07/06/1999

Effective Date

07/06/1999

Expiration Date

07/31/2002

City

WARREN

State

Zip

48093

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/18/2013

Case Number

2013001007

Action

Refuse To Renew

Discipline Start Date

07/03/2013

Discipline Reason

after his Michigan license was suspended following a violation of the appropriate standard of care and a substance abuse violation.