License holder summary

FREDERICK LEROY WAGNER JR is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for FREDERICK LEROY WAGNER JR is BATAVIA NY 14020. This licensed professional license is not current. The license was granted 02/03/1992 and expired on 12/31/1992.

Pennsylvania

Department of State

FREDERICK LEROY WAGNER JR
Medical Physician Assistant
License number
MA001506L
Date granted
02/03/1992
Date expires
12/31/1992
Class
Medical Physician Assistant
Status
Inactive
Address
BATAVIA NY 14020
palicensing.org
ID 16633532
LAST UPDATED 2024-04-08 18:25:27 UTC

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