Indiana
Professional Licensing Agency
VIRGINIA MEADE WAGNER
Controlled Substance Registration - Physician
License number
01021359B
Date granted
09/30/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
510 COUNTRY CLUB ROAD, INDIANAPOLIS IN 46234
indianalicensing.org
ID 5870982
LAST UPDATED 2024-03-23 12:34:26 UTC
LAST UPDATED 2024-03-23 12:34:26 UTC
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