Ching -Shu Chia Wagner
Controlled Substance Registration - Dentist
Indiana 12008738B Expired
This Indiana license was held by Ching -Shu Chia Wagner. The license is no longer active. It was granted on 10/05/1985 and expired on 03/01/2012
LICENSE DETAILS
- License Number: 12008738B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 10/05/1985 (over 39 years ago)
- Expiry Date: 03/01/2012 (about 13 years ago)
LOCATIONS
A Address
2126 East 5th Street, Anderson IN 46012