Indiana
Professional Licensing Agency
Wagoner Medical Center, PC
Medical Licensing Board - Medical Corporation
License number
50003821A
Date granted
05/13/1996
Date expires
01/31/2014
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
601 STATE ROAD 22, BURLINGTON IN 46915
indianalicensing.org
ID 24824354
LAST UPDATED 2026-06-26 13:09:28 UTC
LAST UPDATED 2026-06-26 13:09:28 UTC
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