Mark Andrew Wagner

Medical - Physician And Surgeon

Minnesota  35989   Active

This Minnesota license is held by Mark Andrew Wagner. The license is currently active. It was granted on 11/14/1992 and expired on 01/31/2015

LICENSE DETAILS

  • License Number: 35989
  • Category: Physician and Surgeon
  • Status: Active
  • Date Granted: 11/14/1992 (over 32 years ago)
  • Expiry Date: 01/31/2015 (over 10 years ago)

LOCATIONS

A Licensure Designated Address

1571 Ridge Drive, Merced, CA 95340