Indiana
Professional Licensing Agency
Scott Alan Wagner
Controlled Substance Registration - Physician
License number
01036220B
Date granted
08/05/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Saint Joseph Hospital, 700 Broadway, Fort Wayne IN 46802
indianalicensing.org
ID 5854464
LAST UPDATED 2024-04-22 11:15:01 UTC
LAST UPDATED 2024-04-22 11:15:01 UTC
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