DON JARED WAGONER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038974

License Status

INACTIVE

Business

First Name

DON JARED

Last Name

WAGONER

Suffix

Business Name

DON JARED WAGONER MD

Original Issue Date

02/14/1964

Effective Date

04/08/2011

Expiration Date

07/31/2014

City

BURLINGTON

State

Zip

46915

County

INDIANA

Ever Disciplined

LastModifiedDate

08/27/2014

Case Number

2014006696

Action

Surrender In Lieu Of Other Discipline

Discipline Start Date

08/08/2014

Discipline Reason

after pleading guilty to multiple felony charges related to prescribing contolled substances for non-therapeutic purposes.