License holder summary

Stephanie Ann Wagner is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Stephanie Ann Wagner is Clark Plaza West, 301 W 13th Street, Ste 301, Jeffersonville IN 47130. This licensed professional license is current. The license was granted 07/07/2008 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Stephanie Ann Wagner
Controlled Substance Registration - Physician
License number
01065554B
Date granted
07/07/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Clark Plaza West, 301 W 13th Street, Ste 301, Jeffersonville IN 47130
indianalicensing.org
ID 5874350
LAST UPDATED 2024-03-21 10:21:37 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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