License holder summary

JEFFREY MARK WAGNER is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for JEFFREY MARK WAGNER is Moore SC 29369. This medical practitioner license is not current. The license was granted 10/09/1987 and expired on 12/31/2002.

Department of State

Board of Medicine

JEFFREY MARK WAGNER
Medical Physician And Surgeon
License number
MD040195E
Date granted
10/09/1987
Date expires
12/31/2002
Class
Medical Physician And Surgeon
Status
Inactive
Address
Moore SC 29369
medicinepa.com
ID 37688581
LAST UPDATED 2026-04-11 15:36:35 UTC

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