License holder summary

DANIELLE MARIE WAGNER is a Board Of Medicine licensed to practice in Idaho. The address on file for DANIELLE MARIE WAGNER is 808 20TH AVE EAST JEROME ID 83338. This licensed professional license is current. The license was granted 06/21/2016 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

DANIELLE MARIE WAGNER
Board Of Medicine
License number
D-927
Date granted
06/21/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
808 20TH AVE EAST JEROME ID 83338
idaholicensing.com
ID 48334520
LAST UPDATED 2024-03-04 00:55:30 UTC

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