| | Physician Last Name: | Wagner |
| | Physician First Name: | Richard |
| | Physician Middle Name: | Lewis |
| | Address: | P.O.Box 339
Coupeville, Washington 98239 |
| | License Number: | 158718 |
| | License Type: | MD |
| | Year of Birth: |
1955
|
| | Effective Date: | 03/28/2005 |
| | Action Description for DOH Webpage: | The physician has agreed to never activate his registration to practice medicine or seek to reapply for a license to practice medicine in New York State. |
| | Misconduct Description for DOH Webpage: | The physician did not contest the charge of having been disciplined by the Nevada State Board of Medical Examiners for failing to maintain accurate records. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
|
