WILLIAM LESLIE WAGNER
Controlled Substance Registration - Physician
Indiana 01024007B Suspended
This Indiana license was held by WILLIAM LESLIE WAGNER. The license is no longer active. It was granted on 03/20/1992 and expired on 06/30/1999
LICENSE DETAILS
- License Number: 01024007B
- Category: CSR-Physician
- Status: Suspended
- Date Granted: 03/20/1992 (about 33 years ago)
- Expiry Date: 06/30/1999 (almost 26 years ago)
LOCATIONS
A Address
INDY REHAB & HEALTH SERVICES, 4082 PENDLETON WAY, INDIANAPOLIS IN 46226