License holder summary

Mark Wilson Waggener is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Mark Wilson Waggener is St. John's Hospital, Emergency Department, Maplewood, MN 55109. This doctor license is not current. The license was granted 09/06/2003 and expired on 06/30/2012.

Department of Safety and Professional Services

Board of Medical Practice

Mark Wilson Waggener
Medical - Physician And Surgeon
License number
46143
Date granted
09/06/2003
Date expires
06/30/2012
Class
Medical - Physician And Surgeon
Status
Canceled
Address
St. John's Hospital, Emergency Department, Maplewood, MN 55109
doctorsminnesota.org
ID 22326293
LAST UPDATED 2024-03-24 16:32:05 UTC

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