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
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