License holder summary

STEPHANIE ANN WAGNER is a Medicine - Medical Doctor Educational Limited licensed to practice in Michigan. This medical licensee license is not current. The license was granted 06/25/2001 and expired on 06/30/2004.

Department of Licensing and Regulatory Affairs

Board of Medicine

STEPHANIE ANN WAGNER
Medicine - Medical Doctor Educational Limited
License number
4301078111
Date granted
06/25/2001
Date expires
06/30/2004
Class
Medicine - Medical Doctor Educational Limited
Status
Lapsed
Address
michiganmedical.net
ID 38978894
LAST UPDATED 2026-06-30 21:09:31 UTC

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