DANIEL BERTRAM WAGNER
Osteopathic Physician (Do) - Osteopathic Physician
Michigan 5101012897 Lapsed
This Michigan license was held by DANIEL BERTRAM WAGNER. The license is no longer active. It was granted on 01/07/1997 and expired on 12/31/2003
LICENSE DETAILS
- License Number: 5101012897
- Category: Osteopathic Physician
- Status: Lapsed
- Date Granted: 01/07/1997 (over 28 years ago)
- Expiry Date: 12/31/2003 (over 21 years ago)
LOCATIONS
A Address
Perry, GA 310699407