Idaho
Division of Occupational and Professional Licenses
DR. ELLIOTT JAY WAGNER
Board Of Medicine
License number
M-10481
Date granted
10/21/2008
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
200 EAST 66TH STREET C-904 NEW YORK NY 10065
idaholicensing.com
ID 48334525
LAST UPDATED 2024-02-12 12:00:45 UTC
LAST UPDATED 2024-02-12 12:00:45 UTC
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