Indiana
Professional Licensing Agency
ERMIL DEAN WAGNER
Medical Residency Permit
License number
11005887A
Date granted
08/26/1991
Date expires
06/30/1992
Class
Medical Residency Permit
Status
Expired
Address
BUFFALO GROVE IL 60089
indianalicensing.org
ID 5970290
LAST UPDATED 2024-04-01 21:16:07 UTC
LAST UPDATED 2024-04-01 21:16:07 UTC
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