Department of Licensing and Regulatory Affairs
Board of Medicine
JACK ALAN WAGONER
Medicine - Medical Doctor
License number
4301061858
Date granted
03/09/1999
Date expires
01/31/2000
Class
Medicine - Medical Doctor
Status
Lapsed
Address
michiganmedical.net
ID 38952486
LAST UPDATED 2024-02-27 21:33:34 UTC
LAST UPDATED 2024-02-27 21:33:34 UTC
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