JAMES BART WAGONFELD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045918

License Status

INACTIVE

Business

First Name

JAMES BART

Last Name

WAGONFELD

Suffix

Business Name

JAMES BART WAGONFELD MD

Original Issue Date

07/31/1972

Effective Date

07/31/1972

Expiration Date

07/31/1990

City

TACOMA

State

Zip

98405

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/20/2006