License Directory

Philip I Wagner Md

Expired

Illinois license 036042682

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036042682
Status
Expired (Not Renewed)
First issued
July 11, 1969
Expired
July 1, 1982
License holder
Philip I Wagner Md
Entity type
Individual

Classifications

More from the license record

Current term began
07/11/1969

Contact

Roseburg, OR 97470
Oregon County