License Directory

Jonathan Graham Wagner

Active

California license A107380

License

Licensed by
Medical Board of California
License number
A107380
Status
Active (Current)
First issued
April 22, 2009
Expires
November 30, 2028
License holder
Jonathan Graham Wagner
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

1983 Marengo St
Rm 1K125
Los Angeles, CA 90033-1370
Los Angeles County