Indiana
Professional Licensing Agency
DAVID JOHN WAGGONER
Controlled Substance Registration - Physician
License number
01029008B
Date granted
03/31/1984
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
725 FAIRWAY DRIVE, PERU IN 46970
indianalicensing.org
ID 5909420
LAST UPDATED 2024-02-29 06:24:31 UTC
LAST UPDATED 2024-02-29 06:24:31 UTC
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