License holder summary

Richard Gaines Waggener is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Richard Gaines Waggener is 2808 Shoemaker Dr, Louisville, KY 40241. This doctor license is not current. The license was granted 09/16/1995 and expired on 05/31/1997.

Department of Safety and Professional Services

Board of Medical Practice

Richard Gaines Waggener
Medical - Physician And Surgeon
License number
32784
Date granted
09/16/1995
Date expires
05/31/1997
Class
Medical - Physician And Surgeon
Status
Canceled
Address
2808 Shoemaker Dr, Louisville, KY 40241
doctorsminnesota.org
ID 22328413
LAST UPDATED 2024-04-13 09:04:37 UTC

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