License holder summary

RICHARD ALAN WAGNER is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for RICHARD ALAN WAGNER is CONSHOHOCKEN PA 19428. This licensed professional license is not current. The license was granted 02/05/1990 and expired on 12/31/2012.

Pennsylvania

Department of State

RICHARD ALAN WAGNER
Medical Physician Assistant
License number
MA001279L
Date granted
02/05/1990
Date expires
12/31/2012
Class
Medical Physician Assistant
Status
Expired
Address
CONSHOHOCKEN PA 19428
palicensing.org
ID 16633305
LAST UPDATED 2026-05-22 09:52:39 UTC

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