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 2026-03-26 14:44:43 UTC
LAST UPDATED 2026-03-26 14:44:43 UTC
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