Karl Thomas Wagner, Jr
Controlled Substance Registration - Physician
Indiana 01062265B Expired
This Indiana license was held by Karl Thomas Wagner, Jr. The license is no longer active. It was granted on 05/26/2006 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01062265B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 05/26/2006 (about 19 years ago)
- Expiry Date: 10/31/2013 (over 11 years ago)
LOCATIONS
A Address
1824 Dorchester Court, Suite# A, Goshen IN 46526