The holder whose full name is WAGNER JR, HERBERT T,come from CROFTON MD,hold the Physician license(NO.01012853A) which status is Expired Non-Renewable.
| Name | WAGNER JR, HERBERT T |
|---|---|
| License Number | 01012853A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | CROFTON |
| State | MD |