License holder summary

ROBERT WALTER WAGNER is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for ROBERT WALTER WAGNER is 5655 HARRISON STREET, MERRILLVILLE IN 46410. This licensed professional license is not current. The license was granted 09/30/1986 and expired on 03/01/1994.

Indiana

Professional Licensing Agency

ROBERT WALTER WAGNER
Controlled Substance Registration - Dentist
License number
12005168B
Date granted
09/30/1986
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
5655 HARRISON STREET, MERRILLVILLE IN 46410
indianalicensing.org
ID 5111323
LAST UPDATED 2024-04-30 19:46:59 UTC

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