K. Thomas Wagner, Jr., M.D.
Radiology - Radiation Facility Medical
Indiana XF201241 Expired
This Indiana license was held by K. Thomas Wagner, Jr., M.D.. The license is no longer active. It was granted on 01/19/2007 and expired on 01/19/2010
LICENSE DETAILS
- License Number: XF201241
- Category: Radiation Facility - Medical
- Status: Expired
- Date Granted: 01/19/2007 (over 18 years ago)
- Expiry Date: 01/19/2010 (over 15 years ago)
LOCATIONS
A Address
101 Marilyn Avenue, Suite 6, Goshen IN 46526-4800