License holder summary

WAGGONER REX DWAYNE is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for WAGGONER REX DWAYNE is STATEN ISLAND NY. This doctor license is current. The license was granted 08/29/2013 and expired on 07/31/2015.

New York

Office of the Professions

WAGGONER REX DWAYNE
Medicine (Physician, Including M Ds & D Os)
License number
272098
Date granted
08/29/2013
Date expires
07/31/2015
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
STATEN ISLAND NY
nymedicine.org
ID 30304613
LAST UPDATED 2024-02-11 20:54:34 UTC

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