License holder summary

RAQUEL TAMARA WAGMAN is a Medical Doctor (Md) - Medical Doctor Educational Limited licensed to practice in Michigan. The address on file for RAQUEL TAMARA WAGMAN is New York, NY 10021. This licensed professional license is not current. The license was granted 06/24/1995 and expired on 06/30/1996.

Michigan

Department of Licensing and Regulation

RAQUEL TAMARA WAGMAN
Medical Doctor (Md) - Medical Doctor Educational Limited
License number
4301066022
Date granted
06/24/1995
Date expires
06/30/1996
Class
Medical Doctor (Md) - Medical Doctor Educational Limited
Status
Lapsed
Address
New York, NY 10021
michiganlicensing.org
ID 25796112
LAST UPDATED 2024-03-09 00:52:33 UTC

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