DAVID JOHN WAGGONER
Controlled Substance Registration - Physician
Indiana 01029008B Expired
This Indiana license was held by DAVID JOHN WAGGONER. The license is no longer active. It was granted on 03/31/1984 and expired on 06/30/1991
LICENSE DETAILS
- License Number: 01029008B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 03/31/1984 (about 42 years ago)
- Expiry Date: 06/30/1991 (almost 35 years ago)
LOCATIONS
A Address
725 FAIRWAY DRIVE, PERU IN 46970