Mariah Marie Wagner

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085007649

Status

Active

First issued

May 12, 2020

Expires

March 1, 2028

License holder

Mariah Marie Wagner

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

01/06/2026

Other Illinois licenses under this name

• IL
  Mariah Marie Wagner

  License 38*****52

  Physician Assistant Controlled Substance
  Expired

  Granite City, IL

  Expired Mar 1, 2026

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