Utah
Division of Occupational and Professional Licensing
ELLIOTT JAY WAGNER
Physician - Physician & Surgeon
License number
6998580-1205
Date granted
07/17/2008
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
NEW YORK, NY 10065
utahlicensing.org
ID 29923319
LAST UPDATED 2024-06-25 06:02:24 UTC
LAST UPDATED 2024-06-25 06:02:24 UTC
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