The holder whose full name is Wagner, David George,come from Modesto CA,hold the Physician license(NO.01016260A) which status is Expired Non-Renewable.
| Name | Wagner, David George |
|---|---|
| License Number | 01016260A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Modesto |
| State | CA |