Indiana
Professional Licensing Agency
Richard William Wagner
Controlled Substance Registration - Physician
License number
01016261B
Date granted
09/30/1986
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
4891 WEST 200 NORTH, HUNTINGTON IN 46750
indianalicensing.org
ID 5868697
LAST UPDATED 2024-04-18 10:48:23 UTC
LAST UPDATED 2024-04-18 10:48:23 UTC
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