Samuel Bernard Vagner
Controlled Substance Registration - Physician
Indiana 01015684B Expired
This Indiana license was held by Samuel Bernard Vagner. The license is no longer active. It was granted on 11/05/1998 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01015684B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/05/1998 (over 25 years ago)
- Expiry Date: 06/30/2005 (almost 19 years ago)
LOCATIONS
A Address
53190 WILLOW RUN ROAD, SOUTH BEND IN 46637