Indiana
Professional Licensing Agency
GEORGE WESLEY WAGONER
Controlled Substance Registration - Physician
License number
01012681B
Date granted
09/30/1986
Date expires
09/30/1986
Class
Controlled Substance Registration - Physician
Status
Expired
Address
305 WEST SUMMIT STREET, DELPHI IN 46923
indianalicensing.org
ID 5843440
LAST UPDATED 2024-05-04 19:10:42 UTC
LAST UPDATED 2024-05-04 19:10:42 UTC
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