Robert Gene Wagoner
Controlled Substance Registration - Dentist
Indiana 12011110C Expired
This Indiana license was held by Robert Gene Wagoner. The license is no longer active. It was granted on 11/18/2008 and expired on 03/01/2010
LICENSE DETAILS
- License Number: 12011110C
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 11/18/2008 (over 16 years ago)
- Expiry Date: 03/01/2010 (over 15 years ago)
LOCATIONS
A Address
Oral Surgery Group of Clarksville, LLC, 1516 Lynch Lane, Suite B, Clarksville IN 47129