License holder summary

Ronald Gene Wagner is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Ronald Gene Wagner is ST JOSEPH MEDICAL CENTER, 801 E LASALLE AVE, SOUTH BEND IN 46617. This licensed professional license is not current. The license was granted 09/03/1998 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Ronald Gene Wagner
Controlled Substance Registration - Physician
License number
01049446B
Date granted
09/03/1998
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST JOSEPH MEDICAL CENTER, 801 E LASALLE AVE, SOUTH BEND IN 46617
indianalicensing.org
ID 5922198
LAST UPDATED 2024-03-06 14:11:29 UTC

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