License holder summary

WAGNER JOHN RAYMOND is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for WAGNER JOHN RAYMOND is E NORTHPORT NY. This doctor license is current. The license was granted 01/09/1990 and expired on 06/30/2017.

New York

Office of the Professions

WAGNER JOHN RAYMOND
Medicine (Physician, Including M Ds & D Os)
License number
181212
Date granted
01/09/1990
Date expires
06/30/2017
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
E NORTHPORT NY
nymedicine.org
ID 30304691
LAST UPDATED 2024-03-14 23:36:53 UTC

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