License holder summary

Ching -Shu Chia Wagner is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Ching -Shu Chia Wagner is 2126 East 5th Street, Anderson IN 46012. This licensed professional license is not current. The license was granted 10/05/1985 and expired on 03/01/2012.

Indiana

Professional Licensing Agency

Ching -Shu Chia Wagner
Controlled Substance Registration - Dentist
License number
12008738B
Date granted
10/05/1985
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
2126 East 5th Street, Anderson IN 46012
indianalicensing.org
ID 5080592
LAST UPDATED 2024-02-18 12:16:04 UTC

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