License holder summary

Alan Lee Wagoner is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Alan Lee Wagoner is Alan Wagoner, 1309 SOUTH JACKSON STREET, FRANKFORT IN 46041. This licensed professional license is current. The license was granted 05/04/1988 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Alan Lee Wagoner
Controlled Substance Registration - Physician
License number
01033827B
Date granted
05/04/1988
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Alan Wagoner, 1309 SOUTH JACKSON STREET, FRANKFORT IN 46041
indianalicensing.org
ID 5854961
LAST UPDATED 2024-02-23 12:42:48 UTC

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