License holder summary

Karl Thomas Wagner, Jr is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Karl Thomas Wagner, Jr is 1824 Dorchester Court, Suite# A, Goshen IN 46526. This licensed professional license is not current. The license was granted 05/26/2006 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Karl Thomas Wagner, Jr
Controlled Substance Registration - Physician
License number
01062265B
Date granted
05/26/2006
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1824 Dorchester Court, Suite# A, Goshen IN 46526
indianalicensing.org
ID 5858788
LAST UPDATED 2024-03-22 07:44:09 UTC

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

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