License holder summary

RICHARD S WAGNER is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for RICHARD S WAGNER is CIBOLA AZ 85328. This medical practitioner license is not current. The license was granted 09/09/1977 and expired on 12/31/1996.

Department of State

Board of Medicine

RICHARD S WAGNER
Medical Physician And Surgeon
License number
MD037436L
Date granted
09/09/1977
Date expires
12/31/1996
Class
Medical Physician And Surgeon
Status
Revoked
Address
CIBOLA AZ 85328
medicinepa.com
ID 37688429
LAST UPDATED 2024-03-03 09:39:49 UTC

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