John Anthony Wagoner MD

Nebraska  278   Revoked

This Nebraska license was held by John Anthony Wagoner MD. The license is no longer active. It was granted on 10/15/1990

LICENSE DETAILS

  • License Number: 278
  • Category: Physician Assistant Supervisor
  • Status: Revoked
  • Date Granted: 10/15/1990 (almost 36 years ago)

LOCATIONS

A Address

, Grand Island