REBECCA M WAGNER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009689

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

WAGNER

Business Name

REBECCA M WAGNER

Original Issue Date

06/05/2023

Effective Date

06/05/2023

Expiration Date

03/01/2024

City

SAN ANTONIO

State

Zip

78202

Ever Disciplined

LastModifiedDate

02/05/2025