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 2026-07-09 22:26:14 UTC
LAST UPDATED 2026-07-09 22:26:14 UTC
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