Indiana
Professional Licensing Agency
Thomas H. Wagner
Controlled Substance Registration - Physician
License number
01065946B
Date granted
12/24/2008
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Joseph's Hospital & Health Center, 1907 Sycamore Street, Kokomo IN 46901
indianalicensing.org
ID 5877392
LAST UPDATED 2024-03-07 04:17:16 UTC
LAST UPDATED 2024-03-07 04:17:16 UTC
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