Pennsylvania
Department of State
DRUE ORIN WAGNER
Medicine - Written Agreement
License number
MX004058
Date granted
08/04/2005
Class
Medicine - Written Agreement
Status
Inactive
Address
1287 COUNTY WELFARE ROAD MEDICAL DEPARTMENT Leesport PA 19533
palicensing.org
ID 16665752
LAST UPDATED 2026-06-20 11:54:02 UTC
LAST UPDATED 2026-06-20 11:54:02 UTC
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