License Directory

Douglas Etienne Wagner

Expired

California 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

More from the license record

License type code
8002

Contact

844 Old Tunnel Rd
Grass Valley, CA 95945-8524
Nevada County