License holder summary

KERRIE VAN WAGONER is a Medical Board - 50.Physician Assistant licensed to practice in Ohio. The address on file for KERRIE VAN WAGONER is 1235 Alex Bell Rd., CENTERVILLE, OH 45459. This licensed professional license is not current. The license was granted 03/28/2002 and expired on 01/31/2008.

Ohio

Board of Licensing

KERRIE VAN WAGONER
Medical Board - 50.Physician Assistant
License number
50.001795
Date granted
03/28/2002
Date expires
01/31/2008
Class
Medical Board - 50.Physician Assistant
Status
Inactive
Address
1235 Alex Bell Rd., CENTERVILLE, OH 45459
ohiolicensing.org
ID 28463206
LAST UPDATED 2026-04-19 20:04:12 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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