Brian Matthew Wagner
Controlled Substance Registration - Dentist
Indiana 12010568B Active
This Indiana license is held by Brian Matthew Wagner. The license is currently active. It was granted on 08/08/2003 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12010568B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 08/08/2003 (almost 22 years ago)
- Expiry Date: 03/01/2016 (over 9 years ago)
LOCATIONS
A Address
Smile Center P.C., 7120 S. US 231 P.O. Box 143, Huntingburg IN 47542
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