WILLIAM G WAGNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043201

License Status

NOT RENEWED

Business

First Name

WILLIAM G

Last Name

WAGNER

Suffix

Business Name

WILLIAM G WAGNER MD

Original Issue Date

01/30/1970

Effective Date

01/30/1970

City

SHEBOYGAN

State

Zip

53081

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006