License holder summary

Dr. ANDREW JAMES WAGNER is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. ANDREW JAMES WAGNER is 4535 DRESSLER RD NW CANTON OH 44718. This licensed professional license is not current. The license was granted 06/03/2013 and expired on 08/03/2015.

Idaho

Division of Occupational and Professional Licenses

Dr. ANDREW JAMES WAGNER
Board Of Medicine
License number
M-12036
Date granted
06/03/2013
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
4535 DRESSLER RD NW CANTON OH 44718
idaholicensing.com
ID 48334519
LAST UPDATED 2026-03-23 17:31:57 UTC

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