Indiana
Professional Licensing Agency
JOHN R WAGONER MED CORP
Medical Licensing Board - Medical Corporation
License number
50000371A
Date granted
11/10/1971
Date expires
01/31/1994
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
215 WEST 19TH STREET #1, ANDERSON IN 46016
indianalicensing.org
ID 24823390
LAST UPDATED 2026-05-20 16:06:32 UTC
LAST UPDATED 2026-05-20 16:06:32 UTC
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