Indiana
Professional Licensing Agency
Nicholas Joseph Wagner
Controlled Substance Registration - Dentist
License number
12011465B
Date granted
06/07/2010
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Warrick Park Dental, 800 Office Park Drive, Boonville IN 47601
indianalicensing.org
ID 5083792
LAST UPDATED 2024-03-01 10:25:11 UTC
LAST UPDATED 2024-03-01 10:25:11 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.