Idaho
Division of Occupational and Professional Licenses
Dr. DAVID DALE WAGEMAN
Board Of Medicine
License number
O-0753
Date granted
08/20/2013
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
612 SUNDOWN CT BERTHOUD CO 80513
idaholicensing.com
ID 48334512
LAST UPDATED 2024-02-14 12:21:08 UTC
LAST UPDATED 2024-02-14 12:21:08 UTC
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