License holder summary

Dr. ETHAN EDWARD WAGNER is a Medical Board - 34.Doctor Of Osteopathic Medicine licensed to practice in Ohio. The address on file for Dr. ETHAN EDWARD WAGNER is Fishers, IN 46038. This licensed professional license is not current. The license was granted 02/20/2004 and expired on 10/01/2005.

Ohio

Board of Licensing

Dr. ETHAN EDWARD WAGNER
Medical Board - 34.Doctor Of Osteopathic Medicine
License number
34.008220
Date granted
02/20/2004
Date expires
10/01/2005
Class
Medical Board - 34.Doctor Of Osteopathic Medicine
Status
Inactive
Address
Fishers, IN 46038
ohiolicensing.org
ID 28434733
LAST UPDATED 2024-05-03 19:14:00 UTC

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