The holder whose full name is WAGNER, JOHN M,come from CLARK SUMMIT PA,hold the Physician license(NO.01037414A) which status is Expired Non-Renewable.
| Name | WAGNER, JOHN M |
|---|---|
| License Number | 01037414A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | CLARK SUMMIT |
| State | PA |