Indiana
Professional Licensing Agency
Marilyn Asher Wagoner
Controlled Substance Registration - Physician
License number
01019503B
Date granted
09/30/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Wagoner Medical Center, 821 North Dixon Road, Kokomo IN 46901
indianalicensing.org
ID 5876588
LAST UPDATED 2026-04-25 22:46:22 UTC
LAST UPDATED 2026-04-25 22:46:22 UTC
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