Derek Lamont Wagner
ActiveMichigan license 4301512090
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 4301512090
- Status
- Active
- First issued
- May 2, 2024
- Expires
- May 2, 2027
- License holder
- Derek Lamont Wagner
- Entity type
- Individual
Classifications
- Medical Doctor (Medicine) Physicians & Surgeons