Idaho
Division of Occupational and Professional Licenses
CHERYL ANN WAGONER
Board Of Medicine
License number
PSG-018
Date granted
04/30/2004
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
PO Box 704 Asotin WA 99402
idaholicensing.com
ID 48334541
LAST UPDATED 2024-02-05 18:35:11 UTC
LAST UPDATED 2024-02-05 18:35:11 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.