License holder summary

CHERYL ANN WAGONER is a Board Of Medicine licensed to practice in Idaho. The address on file for CHERYL ANN WAGONER is PO Box 704 Asotin WA 99402. This licensed professional license is not current. The license was granted 04/30/2004 and expired on 06/30/2005.

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

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