STEPHEN PAUL WAGNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145288

License Status

ACTIVE

Business

Title

First Name

STEPHEN

Middle

PAUL

Last Name

WAGNER

Business Name

STEPHEN PAUL WAGNER MD

Original Issue Date

03/13/2018

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

MUKWONAGO

State

Zip

53149

Ever Disciplined

LastModifiedDate

07/26/2023