DONALD EUGENE WAGNER
Medical Physician And Surgeon
Pennsylvania MD007194E Inactive
This Pennsylvania license was held by DONALD EUGENE WAGNER. The license is no longer active. It was granted on 09/12/1963 and expired on 12/31/1988
LICENSE DETAILS
- License Number: MD007194E
- Category: Medical Physician and Surgeon
- Status: Inactive
- Date Granted: 09/12/1963 (over 61 years ago)
- Expiry Date: 12/31/1988 (about 36 years ago)
LOCATIONS
A Address
SANTA MONICA CA 90404