License holder summary

Phyllis J Wagner is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Phyllis J Wagner is P O Box 380042, Cambridge 02238-0042. This licensed professional license is current. The license was granted 04/24/1975 and expired on 09/10/2017.

Massachusetts

Division of Professional Licensure

Phyllis J Wagner
Board Of Registration In Medicine
License number
37927
Date granted
04/24/1975
Date expires
09/10/2017
Class
Board Of Registration In Medicine
Status
Active
Address
P O Box 380042
licensingma.org
ID 41493110
LAST UPDATED 2024-04-01 03:10:09 UTC

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