License holder summary

Brian Dean Wagoner is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Brian Dean Wagoner is 17 South Divison Street, Flora IN 46929-1335. This licensed professional license is current. The license was granted 06/28/1991 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Brian Dean Wagoner
Controlled Substance Registration - Dentist
License number
12009376B
Date granted
06/28/1991
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
17 South Divison Street, Flora IN 46929-1335
indianalicensing.org
ID 5093845
LAST UPDATED 2024-02-27 22:23:45 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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