License holder summary

Dr. JEFFREY CHARLES WAGNER is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. JEFFREY CHARLES WAGNER is 499 E HAMPDEN AVE, SUITE 360 ENGLEWOOD CO 80113. This licensed professional license is current. The license was granted 09/06/2011 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

Dr. JEFFREY CHARLES WAGNER
Board Of Medicine
License number
M-11429
Date granted
09/06/2011
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
499 E HAMPDEN AVE, SUITE 360 ENGLEWOOD CO 80113
idaholicensing.com
ID 48334529
LAST UPDATED 2024-02-11 23:32:28 UTC

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