License holder summary

ROBERT DAVID WAGNER is a Physician licensed to practice in Indiana. The address on file for ROBERT DAVID WAGNER is PORTLAND OR 97231. This licensed professional license is not current. The license was granted 08/10/1976 and expired on 06/30/1980.

Indiana

Professional Licensing Agency

ROBERT DAVID WAGNER
Physician
License number
01027185A
Date granted
08/10/1976
Date expires
06/30/1980
Class
Physician
Status
Expired Non-Renewable
Address
PORTLAND OR 97231
indianalicensing.org
ID 6094599
LAST UPDATED 2024-03-29 16:33:00 UTC

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