RICHARD S WAGNER
Medical Physician And Surgeon
Pennsylvania MD037436L Revoked
This Pennsylvania license was held by RICHARD S WAGNER. The license is no longer active. It was granted on 09/09/1977 and expired on 12/31/1996
LICENSE DETAILS
- License Number: MD037436L
- Category: Medical Physician and Surgeon
- Status: Revoked
- Date Granted: 09/09/1977 (over 47 years ago)
- Expiry Date: 12/31/1996 (over 28 years ago)
LOCATIONS
A Address
CIBOLA AZ 85328