License holder summary

VIRGINIA MEADE WAGNER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for VIRGINIA MEADE WAGNER is 510 COUNTRY CLUB ROAD, INDIANAPOLIS IN 46234. This licensed professional license is not current. The license was granted 09/30/1986 and expired on 06/30/1995.

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

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