License holder summary

Gordon Dean Wagoner is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Gordon Dean Wagoner is 17 SOUTH DIVISION STREET, FLORA IN 46929. This licensed professional license is current. The license was granted 09/30/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Gordon Dean Wagoner
Controlled Substance Registration - Dentist
License number
12007394B
Date granted
09/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
17 SOUTH DIVISION STREET, FLORA IN 46929
indianalicensing.org
ID 5093962
LAST UPDATED 2024-04-03 00:58:49 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

Reviews

Are you familiar with Gordon Dean Wagoner's work? Add a comment below. You can write anonymously and without having to create an account.

Similar names
Trending