MARY T WAGNER DVM Veterinarian License verification

Business Entity

ACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****45

License Status

ACTIVE

Business

Title

DVM

First Name

MARY

Middle

Last Name

WAGNER

Business Name

MARY T WAGNER DVM

Original Issue Date

12/07/2025

Effective Date

12/07/2025

Expiration Date

01/31/2027

City

GALENA

State

Zip

61036

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/07/2025