BROCK H WAGNER DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN

License Number

090004261

License Status

NOT RENEWED

Business

First Name

BROCK H

Last Name

WAGNER

Suffix

DVM

Business Name

BROCK H WAGNER DVM

Original Issue Date

06/15/1978

Effective Date

06/15/1978

Expiration Date

01/31/1993

City

HOPE

State

Zip

47246

County

INDIANA

Ever Disciplined

LastModifiedDate

10/15/2005