License holder summary

Samuel Bernard Vagner is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Samuel Bernard Vagner is 53190 WILLOW RUN RD, SOUTH BEND IN 46637. This licensed professional license is not current. The license was granted 09/30/1986 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

Samuel Bernard Vagner
Controlled Substance Registration - Physician
License number
01015684C
Date granted
09/30/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
53190 WILLOW RUN RD, SOUTH BEND IN 46637
indianalicensing.org
ID 5922216
LAST UPDATED 2026-04-27 13:59:20 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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