Douglas Etienne Wagner
ExpiredCalifornia license A26753
License
- Licensed by
- Medical Board of California
- License number
- A26753
- Status
- Expired (Delinquent)
- First issued
- July 1, 1975
- Expired
- September 30, 2022
- License holder
- Douglas Etienne Wagner
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
844 Old Tunnel Rd
Grass Valley, CA 95945-8524
Grass Valley, CA 95945-8524
Nevada County