Brian Dean Wagoner
Dentist
Indiana 12009376A Active
This Indiana license is held by Brian Dean Wagoner. The license is currently active. It was granted on 06/14/1991 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12009376A
- Category: Dentist
- Status: Active
- Date Granted: 06/14/1991 (almost 34 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
Flora IN 46929-1335
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