The holder whose full name is WAGNER, WILLIAM EDWARD,come from FORT CAMPBELL KY,hold the Physician license(NO.01029703A) which status is Expired Non-Renewable.
| Name | WAGNER, WILLIAM EDWARD |
|---|---|
| License Number | 01029703A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | FORT CAMPBELL |
| State | KY |