Indiana
Professional Licensing Agency
Brian Matthew Wagner
Controlled Substance Registration - Dentist
License number
12010568B
Date granted
08/08/2003
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Smile Center P.C., 7120 S. US 231 P.O. Box 143, Huntingburg IN 47542
indianalicensing.org
ID 5101289
LAST UPDATED 2024-03-29 06:00:47 UTC
LAST UPDATED 2024-03-29 06:00:47 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.