ERIC JAMESON WAGNER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156189

License Status

NOT RENEWED

Business

Title

First Name

ERIC

Middle

JAMESON

Last Name

WAGNER

Business Name

ERIC JAMESON WAGNER DO

Original Issue Date

03/22/2021

Effective Date

03/22/2021

Expiration Date

07/31/2023

City

HOUSTON

State

Zip

77004

Ever Disciplined

LastModifiedDate

11/30/2023