License holder summary

Cody Lynn Wagner is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Cody Lynn Wagner is Decatur County Primary Care, 718 North Lincoln Street, Greensburg IN 47240. This licensed professional license is current. The license was granted 07/07/2004 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Cody Lynn Wagner
Controlled Substance Registration - Physician
License number
01059456B
Date granted
07/07/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Decatur County Primary Care, 718 North Lincoln Street, Greensburg IN 47240
indianalicensing.org
ID 5860961
LAST UPDATED 2024-02-05 22:54:07 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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