License holder summary

KRISTIN EMILY WAGNER is a Osteopathic Medicine & Surgery - Osteopathic Educational Limited licensed to practice in Michigan. This medical licensee license is not current. The license was granted 07/01/2007 and expired on 06/30/2011.

Department of Licensing and Regulatory Affairs

Board of Medicine

KRISTIN EMILY WAGNER
Osteopathic Medicine & Surgery - Osteopathic Educational Limited
License number
5101017373
Date granted
07/01/2007
Date expires
06/30/2011
Class
Osteopathic Medicine & Surgery - Osteopathic Educational Limited
Status
Voided
Address
michiganmedical.net
ID 39127702
LAST UPDATED 2024-04-25 03:32:33 UTC

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