Stephanie Ann Wagner

Controlled Substance Registration - Physician

Indiana  01065554B   Active

This Indiana license is held by Stephanie Ann Wagner. The license is currently active. It was granted on 07/07/2008 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01065554B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 07/07/2008 (almost 17 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

Clark Plaza West, 301 W 13th Street, Ste 301, Jeffersonville IN 47130