Indiana
Professional Licensing Agency
Jeffrey D. Wagner, M.D., P.C.
Medical Licensing Board - Medical Corporation
License number
50004583A
Date granted
01/12/2004
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
12985 Water Ridge Drive, Mc Cordsville IN 46055
indianalicensing.org
ID 24830723
LAST UPDATED 2024-02-24 18:41:04 UTC
LAST UPDATED 2024-02-24 18:41:04 UTC
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