License holder summary

Billy Dwain Wagoner is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Billy Dwain Wagoner is 12618 LOCKERBIE CIRCLE, CARMEL IN 46032. This licensed professional license is not current. The license was granted 09/30/1986 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

Billy Dwain Wagoner
Controlled Substance Registration - Physician
License number
01016262B
Date granted
09/30/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
12618 LOCKERBIE CIRCLE, CARMEL IN 46032
indianalicensing.org
ID 5829977
LAST UPDATED 2024-04-13 23:15:59 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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