License holder summary

RANDI RENEE WAGNER is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for RANDI RENEE WAGNER is COVINGTON MEDICAL CLINIC, 1325 SECOND STREET, COVINGTON IN 47932. This licensed professional license is not current. The license was granted 06/18/1991 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

RANDI RENEE WAGNER
Controlled Substance Registration-Osteopathic Physician
License number
02001217B
Date granted
06/18/1991
Date expires
06/30/1995
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
COVINGTON MEDICAL CLINIC, 1325 SECOND STREET, COVINGTON IN 47932
indianalicensing.org
ID 5797337
LAST UPDATED 2026-06-05 11:03:58 UTC

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