CHARLOTTE BOWEN WAGAMON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117288

License Status

INACTIVE

Business

Title

First Name

CHARLOTTE

Middle

BOWEN

Last Name

WAGAMON

Business Name

CHARLOTTE BOWEN WAGAMON MD

Original Issue Date

12/12/2006

Effective Date

07/11/2011

Expiration Date

07/31/2014

City

CONNEAUT LAKE

State

Zip

16316

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

04/08/2014