License holder summary

WILLIAM LESLIE WAGNER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for WILLIAM LESLIE WAGNER is INDY REHAB & HEALTH SERVICES, 4082 PENDLETON WAY, INDIANAPOLIS IN 46226. This licensed professional license is not current. The license was granted 03/20/1992 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

WILLIAM LESLIE WAGNER
Controlled Substance Registration - Physician
License number
01024007B
Date granted
03/20/1992
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Suspended
Address
INDY REHAB & HEALTH SERVICES, 4082 PENDLETON WAY, INDIANAPOLIS IN 46226
indianalicensing.org
ID 5871206
LAST UPDATED 2024-03-12 03:27:40 UTC

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