License holder summary

Diane L. Jordan-Wagner is a Physician licensed to practice in Indiana. The address on file for Diane L. Jordan-Wagner is Terre Haute IN 47807-1037. This licensed professional license is current. The license was granted 06/14/2002 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Diane L. Jordan-Wagner
Physician
License number
01056292A
Date granted
06/14/2002
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Terre Haute IN 47807-1037
indianalicensing.org
ID 6104261
LAST UPDATED 2024-02-27 01:15:58 UTC

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