License holder summary

MARTIN D WAGNER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MARTIN D WAGNER is Community Hosp of Anderson, 1515 N. Madison Ave, Anderson IN 46011. This licensed professional license is current. The license was granted 10/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

MARTIN D WAGNER
Controlled Substance Registration - Physician
License number
01030508B
Date granted
10/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Community Hosp of Anderson, 1515 N. Madison Ave, Anderson IN 46011
indianalicensing.org
ID 5817747
LAST UPDATED 2024-02-07 21:40:21 UTC

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