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 2026-04-26 12:22:45 UTC
LAST UPDATED 2026-04-26 12:22:45 UTC
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