Wisconsin
Department of Safety and Professional Services
Wagener, Nicholas R
Medicine And Surgery
License number
14246-20
Date granted
02/27/1962
Date expires
11/01/1993
Class
Medicine And Surgery
Status
Surrendered
wisconsinmedicine.org
ID 12761878
LAST UPDATED 2024-02-11 00:52:56 UTC
LAST UPDATED 2024-02-11 00:52:56 UTC
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