License holder summary

DAVID CARROLL WAGGONER is a Physician licensed to practice in Indiana. The address on file for DAVID CARROLL WAGGONER is Nashville TN 37204. This licensed professional license is not current. The license was granted 04/25/1996 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

DAVID CARROLL WAGGONER
Physician
License number
01045057A
Date granted
04/25/1996
Date expires
06/30/2007
Class
Physician
Status
Expired Non-Renewable
Address
Nashville TN 37204
indianalicensing.org
ID 6085634
LAST UPDATED 2024-04-18 17:40:32 UTC

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