License holder summary

Alexei M Wagner is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Alexei M Wagner is Franciscan St Anthony Health, 301 Homer Street, Michigan City IN 46360. This licensed professional license is not current. The license was granted 12/05/2012 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Alexei M Wagner
Controlled Substance Registration - Physician
License number
01071963B
Date granted
12/05/2012
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Franciscan St Anthony Health, 301 Homer Street, Michigan City IN 46360
indianalicensing.org
ID 5892119
LAST UPDATED 2024-05-31 07:48:10 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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