Indiana
Professional Licensing Agency
Yen Thi Hong Wagner
Controlled Substance Registration - Dentist
License number
12010286B
Date granted
07/11/2000
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Muncie Dental Care, 1804 W McGalliard Rd, Muncie IN 47304
indianalicensing.org
ID 5114483
LAST UPDATED 2024-04-06 22:30:37 UTC
LAST UPDATED 2024-04-06 22:30:37 UTC
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