COURTNEY REGAN WAGNER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055344

License Status

CANCELLED

Business

Title

First Name

COURTNEY

Middle

REGAN

Last Name

WAGNER

Business Name

COURTNEY REGAN WAGNER MD

Original Issue Date

06/22/2008

Effective Date

06/22/2008

Expiration Date

06/21/2011

City

BOZEMAN

State

Zip

59718

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/05/2008