License holder summary

Robert Gene Wagoner is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Robert Gene Wagoner is Oral Surgery Group of Clarksville, LLC, 1516 Lynch Lane, Suite B, Clarksville IN 47129. This licensed professional license is not current. The license was granted 11/18/2008 and expired on 03/01/2010.

Indiana

Professional Licensing Agency

Robert Gene Wagoner
Controlled Substance Registration - Dentist
License number
12011110C
Date granted
11/18/2008
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Oral Surgery Group of Clarksville, LLC, 1516 Lynch Lane, Suite B, Clarksville IN 47129
indianalicensing.org
ID 5087159
LAST UPDATED 2024-02-20 14:05:00 UTC

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