License holder summary

Richard David Wagoner is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Richard David Wagoner is 1225 19th Ave NE, Rochester, MN 55906-4317. This doctor license is current. The license was granted 02/19/1960 and expired on 08/31/1997.

Department of Safety and Professional Services

Board of Medical Practice

Richard David Wagoner
Medical - Physician And Surgeon
License number
15182
Date granted
02/19/1960
Date expires
08/31/1997
Class
Medical - Physician And Surgeon
Status
Active
Address
1225 19th Ave NE, Rochester, MN 55906-4317
doctorsminnesota.org
ID 22326334
LAST UPDATED 2024-05-04 05:06:25 UTC

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