License holder summary

Van Lewis Wagner is a Medical - Physician licensed to practice in Colorado. The address on file for Van Lewis Wagner is 9387 Caddyshack Circle, Saint Louis, MO, 63126-3126. This licensed professional license is not current. The license was granted 04/09/1998 and expired on 05/31/2011.

Colorado

Division of Professions and Occupations

Van Lewis Wagner
Medical - Physician
License number
36922
Date granted
04/09/1998
Date expires
05/31/2011
Class
Medical - Physician
Status
Expired
Address
9387 Caddyshack Circle, Saint Louis, MO, 63126-3126
coloradolicensing.org
ID 27452888
LAST UPDATED 2024-02-24 01:22:50 UTC

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