JOHN R WAGNER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086785

License Status

INACTIVE

Business

First Name

JOHN R

Last Name

WAGNER

Suffix

Business Name

JOHN R WAGNER MD

Original Issue Date

07/14/1993

Effective Date

07/14/1993

Expiration Date

07/31/1996

City

CLAYTON

State

Zip

63105

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006