MEREDITH WALL WAGNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165930

License Status

ACTIVE

Business

Title

First Name

MEREDITH

Middle

WALL

Last Name

WAGNER

Business Name

MEREDITH WALL WAGNER MD

Original Issue Date

07/14/2023

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

GERMANTOWN

State

Zip

38139

County

SHELBY

Ever Disciplined

LastModifiedDate

08/03/2023