License holder summary

WAGNER MICHAEL JACOB is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for WAGNER MICHAEL JACOB is HOUSTON TX. This doctor license is current. The license was granted 09/19/2012 and expired on 09/30/2015.

New York

Office of the Professions

WAGNER MICHAEL JACOB
Medicine (Physician, Including M Ds & D Os)
License number
266796
Date granted
09/19/2012
Date expires
09/30/2015
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
HOUSTON TX
nymedicine.org
ID 30304711
LAST UPDATED 2024-03-09 02:45:41 UTC

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