CHRISTOPHER JOSEPH WAGNER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076073

License Status

EXPIRED

Business

Title

First Name

CHRISTOPHER

Middle

JOSEPH

Last Name

WAGNER

Business Name

CHRISTOPHER JOSEPH WAGNER DO

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2025

City

WAUWATOSA

State

Zip

53226

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

11/03/2025