DONALD C WAGNER
License Number: ME43255
Data As Of 5/20/2024
| Profession | Medical Doctor |
|---|---|
| License | ME43255 |
| License Status | CLEAR/Active |
| License Expiration Date | 1/31/2025 |
| License Original Issue Date | 10/24/1983 |
| Address of Record | 1775 WEST HIBISCUS , SUITE 215 |
| MELBOURNE, FL 32901 | |
| Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | No |
| Discipline on File | No |
| Public Complaint | No |
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