License Directory

Jaxon Deshae Wagner

Active

California license A212266

License

Licensed by
Medical Board of California
License number
A212266
Status
Active (Current)
First issued
September 29, 2026
Expires
November 30, 2028
License holder
Jaxon Deshae Wagner
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

1800 N California St
Stockton, CA 95204-6019
San Joaquin County