JOHN ALLEN VAN WAGONER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147269

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Middle

ALLEN

Last Name

VAN WAGONER

Business Name

JOHN ALLEN VAN WAGONER MD

Original Issue Date

08/20/2018

Effective Date

08/07/2020

Expiration Date

07/31/2023

City

PLANO

State

Zip

75093

Ever Disciplined

LastModifiedDate

12/11/2025