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 2024-02-22 04:41:37 UTC
LAST UPDATED 2024-02-22 04:41:37 UTC
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